Mjeket.al

I have been very impressed by the professional level of Dr. Lakos. Moreover, I have visited him in a Neighborhood Clinic 2, and not in a private clinic where doctors treat their patients with more care. Not only did I receive very accurate treatment, but he also took the time to explain to me the type of anemia, the way of treatment, and the impact of each medication on the body. Even in very specialized clinics with very high fees, I have not received such professional service.
I am healthier now, thanks to his professionalism

Sent by Ledia Kashahu, më 26 October 2012 në 17:14

One of the best doctors in their field

Sent by Artan, më 23 April 2016 në 11:40

From what I read, I think he needs to be professional and committed to his duty. I need a consultation from Dr. Lako

Sent by Vera Ramadani, më 12 July 2016 në 14:11

Hello from Sweden, I am interested and need your help, Dr. Lako. I wish to be informed if it's possible to set an appointment for a check-up because I have a problem with very very high blood platelets, or should I call? With respect, Agimja from SWEDEN

Sent by Agime Plava, më 11 January 2017 në 13:00

Mrs. Agime, greetings,

The increase in platelets is evaluated. For ease, we divide it into two groups; 1- the increase in platelets originating from the red bone marrow, which must be confirmed by the Biopsy of the Red Bone Marrow and some genetic analyses, and if confirmed, it will be treated with the respective medications. 2- reactive increase of platelets from any disease that is accompanied by acute inflammation or iron deficiency. You can come to Tirana whenever you want

Replay from Dr. Shk. Sotiraq Lako, më 12 January 2017 në 08:03

Hello Professor! I would like to contact you as soon as possible at the American hospital, maybe during the coming week. I have been presenting with generalized lymphadenopathy for about 6 weeks now (2 lymph nodes in the axilla, 1 cervical, 1 inguinal).. which have been progressively increasing. My results show WBC 11,000 Lymphocytosis 51% Neutropenia 37% and mild hypochromia. Protein electrophoresis normal, EBV VCA IgG antibodies positive for which they told me that all symptoms might be a consequence of Mononucleosis, but meanwhile IgM VCA is negative and I'm afraid that just mononucleosis is masking something more severe. The temperature is subfebrile at 37. The glands fluctuate in size up to 1.5cm at the largest. Please give me some preliminary info if you can as I am worried. Ultrasound of organs and Chest X-ray normal, in the latter I had a slight bilateral bronchovascular prominence. Thank you!

Sent by Era, më 02 February 2017 në 11:06

Hello, I cannot help you much through this communication regarding lymphadenopathy. You can come next week. Most of the time, I am at the American Hospital 1, in Laprake from 9-12. Let me know when you set off 0674180160

Replay from Dr. Shk. Sotiraq Lako, më 03 February 2017 në 01:44

Hello Dr, I have a problem with a friend who is 29 years old and has been using interferon for hepatitis B for a year now, and their platelet count has dropped to 53. They have bleeding from the mouth, especially in the morning, sometimes heart pain, and pain from the left arm around where the spleen is. Could you please tell me what can be done?

Sent by Era, më 09 March 2017 në 04:37

Hello Era, interferon is a preparation that affects hematological parameters by decreasing them, and the possibility of reducing platelets is up to 15% of the cases that use it, so it is very common (Very common (10% or more): decreased platelet count (up to 15%)- Side Effects - Drugs.com (FDA). You should consider that the liver is very important for the production of platelets (most of the hormone TPO, which stimulates the production of platelets, is produced there), so liver disease itself can be a cause for their reduction. If the spleen is enlarged as a result of liver disease or for other reasons, it can be another cause for the reduction of platelets. As there can be other causes not related to these factors. 53,000 is a lower number than the norm, but with this value, spontaneous hemorrhage does not occur. If they decrease further, it will be discussed with the doctor who gave you the Interferon about how to proceed. I don't know if you have had an Abdominal Ultrasound to see the size of the spleen and if it is indeed the cause of the pain you have in this region. For abdominal pain, the hepatologist is the key specialist and you can discuss it with them

Replay from Dr. Shk. Sotiraq Lako, më 09 March 2017 në 12:15

Honored, I congratulate you on the work you do and the positive comments you have received from patients. I wanted to know if you also come to Kosovo, because I had wanted to have a check-up for my mother after a long time with the recommendation of doctors (hematologists) using ampoules of iron 2x 1 however, hemoglobin after the last use has dropped from 8.8 to 8.2. Due to her age, 81 years old, and heart disease, doctors do not prefer gastroscopy. Is there another possibility to find the cause of the blood loss? Thank you for your understanding

Sent by Besa, më 27 March 2017 në 16:25

Hello Mrs. Besa. I would very much like to visit Kosovo, but it has not been realized so far. If your mother does not have visible blood loss (urine, feces, from the nose, etc.), iron treatment only yields results in patients who lack iron. No other anemia can be corrected with it, moreover, the dosage you are using is suboptimal. Before using iron, you will test your mother for:

ferritinemia, erythrocyte sedimentation rate, total protein, LDH, serum protein electrophoresis, Vitamin B12, blood urea nitrogen + creatinine, complete urine, fecal occult blood, total bilirubin, and transaminases.

When you get the results, write to me and we will discuss again

Replay from Dr. Shk. Sotiraq Lako, më 28 March 2017 në 02:03

Dear,
I don't know if the results of the tests that you recommended for my mother have come to you on Facebook. Thanking you very much, I await a response from you.

Respectfully,
Besa

Sent by Besa, më 30 March 2017 në 13:52

Mrs. Besa, hello, but I haven't received the analyses

Replay from Dr. Shk. Sotiraq Lako, më 30 March 2017 në 14:16

Honored,

Results of the analyses: erythrocyte sedimentation-60, WBC 4.7, LYM% 20.6, MON% 5.0, GRA% 74.4, LYM 0.90#L, MON#0.20, GRA#3.60, RBC 3.40, HGB 8.4, HCT 25.1, MCV 74, MCH 24.8, MCHC 33.6, RDW 19.1, PLT 176, MPV 8.9, PCT 0.157, PDW 14.4, Urea 7.2, Creatinine 125.0, Glucose 5.6, Cholesterol 4.0, Triglycerides 0.4, Total proteins 81, Albumins 36, Total bilirubin 25.1, Direct bilirubin 6.8, ALT 6, AST 22, LDH 225, Iron (Fe) 5.0, Urine examination appearance - clear, yellow color, reaction 5.0 specific gravity 1030, protein 0, leukocytes 4-6, epithelial cells 6-8, IgG immunoglobulin 754.0, IgM immunoglobulin 87.2, IgA immunoglobulin 75.0, Total IgE 186.47, C3 complement 121.5, C4 complement 21.7, vitamin B12 627.62, occult blood in feces (FOB) positive and also has Helicobacter pylori positive. Suffers from heart disease for 20 years DG. From the cardiologist HTA.CMP restrictive. ICC NYHA III. AF permanent. Severe anemia. The therapy she uses: Warfarin according to INR, Coryol 6.25, Aminophylline, Lasix, Lorista. Thank you very much for the consideration and what do you recommend next, Should I bring my mother to the hospital where you work or what should I do? Awaiting your reply, sincerely thanking you

Sent by Besa, më 30 March 2017 në 16:13

Dear Mrs. Besa, greetings. The analyses sent show an increase in creatinine, and for this reason, you will discuss with a nephrologist. It may be related to age, but in the case of kidney disease, anemia can occur because the hormone that determines the production of erythrocytes is produced there. You have done the Sideremia, but Ferritinemia is important for us to evaluate the iron stores and, depending on them, the iron treatment and the expectation from the iron treatment. Fecal occult blood is positive, and this needs to be assessed whether it is bleeding from difficulty in defecation, or from another disease of the Gastro-Intestinal Tract, where the main concerns for older ages are abnormalities of the blood vessels, or a cancer of this tract. You have done Immunoelectrophoresis, but if possible, total protein and Protein Electrophoresis (semi-quantitative with the corresponding graph) should be done. In a patient with anemia, elevated sedimentation rate, old age, with impaired kidney function, we exclude a disease called Multiple Myeloma (small possibility, since the immunoglobulins done are normal). Therefore, consult with the gastro-enterologist and if unable to perform gastroscopy/colonoscopy, an Abdominal Scan (of the abdomen) should be done. Consult with the Nephrologist about the rise in creatinine. Do Ferritinemia and Protein Electrophoresis and Total Protein. For 1 month use: Heferol 350 mg 2 x 1 capsule/day + Vitamin C 100 mg 2 x 1 tablet/day + Vitamin B6 25 mg 2 x 1 tablet/day + Folic Acid 5 mg 2 x 1 tablet/day. After 1 month, the following will be done: complete blood count, erythrocyte sedimentation rate, creatinine

Replay from Dr. Shk. Sotiraq Lako, më 31 March 2017 në 04:23

Hello, I have sent the results here and also to your Yahoo email. Please consider it

Sent by Besa, më 31 March 2017 në 01:20

Mrs. Besa, greetings, the analyses sent show an increase in creatinine, and for this, you will discuss with a nephrologist. It may be related to age, but in case of kidney disease, anemia can occur because the hormone that determines the production of erythrocytes is produced there.

You have done Sideremia, but Ferritinemia is important to us to assess iron stores and based on that, iron treatment and the expectation from iron treatment.

Fecal occult blood is positive, and this needs to be assessed whether it is bleeding from difficulty in defecation, or from another disease of the Gastro-Intestinal Tract, where the main concerns for older ages are abnormalities of the blood vessels, or a cancer of this tract.

You have done Immunoelectrophoresis, but if possible, total protein and Protein Electrophoresis (semi-quantitative with the corresponding graph) should be done. In a patient with anemia, increased sedimentation rate, old age, with kidney function impairment, we exclude a disease called Multiple Myeloma (small possibility, since the immunoglobulins done are normal).

So, consult with a gastro-enterologist and if you cannot perform the gastroscopy/colonoscopy, an Abdominal Scanner (of the abdomen) should be done.

Consult with a Nephrologist for the increase in creatinine.

Do Ferritinemia and Protein Electrophoresis and Total Protein.

For 1 month use: Heferol 350 mg 2 x 1 capsule/day + Vitamin C 100 mg 2 x 1 tablet/day + Vitamin B6 25 mg 2 x 1 tablet/day + Folic Acid 5 mg 2 x 1 tablet/day.

After 1 month, the following will be done:

complete blood count, erythrocyte sedimentation rate, creatinine

Replay from Dr. Shk. Sotiraq Lako, më 31 March 2017 në 04:10

Dear, you have a special thanks for the support, dedication, and everything that you have offered me in the case of my mother. I have no comment because I have never until now encountered such understanding. I sincerely thank you, wishing you health, success, and all the best in life

Sent by Besa, më 01 April 2017 në 17:21

And I wish you all the best. Get the Ferritin, Total Protein, Abdominal Scan, consult with the Nephrologist, and take the medication I have prescribed for 1 month. If after 1 month the hemoglobin increases, it indicates that it is anemia due to iron deficiency (only that increases due to iron deficiency) and the treatment will continue for another 2 months

Replay from Dr. Shk. Sotiraq Lako, më 02 April 2017 në 07:20

Hello esteemed,

A colonoscopy has been performed and according to the medical report, the explored mucosa is without pathological changes except for some diverticula in the rectum and sigmoid. At the 30 centimeter mark, two polypoid changes were noticed. Due to pain, penetration was only up to 60cm. Subsequently, an irrigation radiography was performed; the data in the X-ray indicate diverticulosis of the descending and ascending sigmoid colon, a polyp of 7-8mm in size in the descending colon, and dolichocolon. There are no signs of malignant infiltration in the colon.

Could there be a possibility that the findings in these examinations could lead to anemia? The abdominal scan has not yet been performed as, according to the doctors, rest is needed after the procedures that were done. I have also forwarded the reports to your email.

Best regards, Besa

Sent by Besa, më 05 April 2017 në 16:59

Mrs. Besa greetings, diverticula and polyps can cause anemia if they lead to repeated or continuous bleeding, resulting in iron deficiency, and this deficiency will cause iron deficiency anemia. However, Ferritin levels must be evaluated beforehand.

Did you discuss with the Nephrologist about the possibility of anemia due to kidney function impairment?

Replay from Dr. Shk. Sotiraq Lako, më 06 April 2017 në 08:22

Hello dear. I have an 11-month-old daughter and the doctor says she has anemia. The results are as follows: WBC 8.9, RBC 2.93, HGB 7.4, HCT 23.8, PLT 246, PCT..145, LYM 56.4, MON 7.9, GRA 35.7, MCV 81, MCH 25.2, MCHC 31, RDW 20.5, MPV 5.9, PDW 14.6, based on these results what actions should be taken? Thank you for understanding

Sent by Asllan, më 07 April 2017 në 13:37

Hello Mr. Asllan, the girl has anemia, at least the ferritinemia (iron stores) needs to be evaluated, and if it is low, she will be treated with iron. She needs to be followed by a pediatric hematologist, or if that's not possible, by a pediatrician

Replay from Dr. Shk. Sotiraq Lako, më 08 April 2017 në 04:18

Hello Doctor.
Could you please explain to me these values of an analysis for a 4-year-old child. We are worried because the city doctor told us we need a consultation in Tirana since the tests did not come out well. The values are: PCR 1.4mg/dL; HGB 8.3g/dL; MCHC 23.5pg; MCV 85.4fL; Erythrocytes 13,530,000; Platelets 358,000/mm3; Leukocytes 8600, segments 50%; HCT 30.1%. I would greatly appreciate it if you could give me a response before we head to TR. Thank you

Sent by Alma, më 26 April 2017 në 05:29

Hello, If the Erythrocyte count is 3,530,000 mm3 and hemoglobin is 8.3 gr/dl, it indicates hypochromic microcytic anemia, most likely due to iron deficiency, for which ferritin levels are tested. If it is low, treatment with iron for at least 3 months is indicated, and after 1-1.5 months, the hemoglobin should normalize (the anemia should be resolved), and then treatment continues for replenishing iron stores (correcting the ferritin levels). It is the most common problem in medical practice and if confirmed and properly treated, it is completely correctable

Replay from Dr. Shk. Sotiraq Lako, më 26 April 2017 në 09:28

Hello doctor. My father is 67 years old and for almost 1 year his white blood cell count has been 2300. It went up 3-4 months ago to 3200 and then dropped again. The only problem he has is oral thrush. It causes lesions in his mouth. We use antifungal medication, and it gets better, but after a few days, it starts again. He did some tests and the conclusion the doctor gave was, "-Neoplasia of uncertain behavior in regions and other and unspecified tissues." He was also told that a biopsy needs to be done on the palate. I wanted to consult with you as well. Where can I find you, please? Thank you!

Sent by Enkeleja , më 08 May 2017 në 08:36

Hello Enkelejda, your father has a mild/moderate decrease in leukocytes which is also accompanied by damage to the mouth mucosa. Other parameters of peripheral blood and patient examination need to be looked at. But just such a decrease in leukocytes does not prevent the patient from carrying out their activity. Some states have the lower limit of the norm for leukocytes at 2500 mm3. The diagnosis given by the doctor exists as nomenclature, but we use it when we have done everything and we have a suspicion of a malignant pathology that we cannot confirm yet. We can talk. We can meet at American Hospital 1 or 2. My number is 0674180160. Sotiraq

Replay from Dr. Shk. Sotiraq Lako, më 09 May 2017 në 02:23

Hello Doctor, I wish you success in your work.
I have a 2-year and 4-month-old child who has been having constipation problems for about a month. We started giving him more water or juices, but I read somewhere that an excess amount of cow's milk was one of the causes, so we stopped it both at home and at daycare because he liked it so much. But the large amount of milk also hindered the absorption of Fe (iron), and he had a complete blood test. From which the red series results are: RBC 4.97, HGB 10, HCT 29.4, MCV 59.2, MCH 20.1, RDW -CV 19.7. What should I use for treatment or any other advice? Thank you

Sent by Silva, më 10 May 2017 në 05:37

Hello Silva, currently the child has mild anemia, but it is important to perform ferritinemia (the best evaluator of iron stores). If it is low, the causes will be discussed, where the biggest problem in children is the increased consumption of iron due to their rapid growth. We almost do not evaluate the problem of iron intake, because we get as much iron as we need daily from plant and animal foods, or from the pot in which the food is cooked. So, my opinion is to let the child consume milk and the necessary elements found in it. If ferritinemia is normal, the above discussions are not raised at all and hemoglobin electrophoresis will be performed

Replay from Dr. Shk. Sotiraq Lako, më 10 May 2017 në 15:26

Hello. Please can you tell me if the hemoglobin electrophoresis analysis results: HbA 97.0%, HbA2 2.4%, HbF 0.6% indicate that the person is a carrier? Thank you

Sent by Ina, më 13 May 2017 në 05:24

Hello Ina, the Hemoglobin Electrophoresis is normal. However, this is not enough to say that you are not a carrier. It detects diseases of the beta chains of hemoglobin and not all of them. Diseases of the alpha chains are not detected. At least the number of erythrocytes, hemoglobin, and the value of ferritin are needed to give an answer

Replay from Dr. Shk. Sotiraq Lako, më 13 May 2017 në 10:16

Hello. Can you please tell me if the results of the hemoglobin electrophoresis analysis: HbA 97.0%, HbA2 2.4%, HbF 0.6% indicate that the person is a carrier? Thank you

Sent by Ina, më 13 May 2017 në 05:27

Hello Ina, the Hemoglobin Electrophoresis is normal. However, this is not enough to say that you are not a carrier. It detects diseases of the beta chains of hemoglobin and not all of them. Diseases of the alpha chains are not detected. At least the number of erythrocytes, hemoglobin, and the value of ferritin are needed to give an answer

Replay from Dr. Shk. Sotiraq Lako, më 13 May 2017 në 10:16

Hello. Could you please tell me if the results of the hemoglobin electrophoresis analysis: HbA 97.0%, HbA2 2.4%, HbF 0.6% indicate that the person is a carrier? Thank you

Sent by Ina, më 13 May 2017 në 05:41

Hello Ina, the Hemoglobin Electrophoresis is normal. However, this is not sufficient to say that you are not a carrier. It detects diseases of the beta chains of hemoglobin and not all of them. Diseases of the alpha chains are not detected. At least the number of erythrocytes, hemoglobin, and the value of ferritin are needed to give an answer

Replay from Dr. Shk. Sotiraq Lako, më 13 May 2017 në 10:16

Hello. Can you please tell me if the results of the hemoglobin electrophoresis analysis: HbA 97.0%, HbA2 2.4%, HbF 0.6% indicate that the person is a carrier? Thank you

Sent by Ina, më 13 May 2017 në 06:03

Hello Ina, Hemoglobin Electrophoresis is normal. However, this is not enough to say that you are not a carrier. It detects diseases of the beta chains of hemoglobin and not all of them. Diseases of the alpha chains are not detected. At least the number of erythrocytes, hemoglobin, and the value of ferritin are needed to give an answer

Replay from Dr. Shk. Sotiraq Lako, më 13 May 2017 në 10:16

Hello, it is possible to donate, this happens often because there are many people who don't know. Again, ferritin levels are important. If it is low, the lost = donated blood cannot be recovered and in addition to congenital anemia, iron deficiency anemia will also worsen

Replay from Dr. Shk. Sotiraq Lako, më 14 May 2017 në 07:21

Thank you very much for the answer. Can a person, if they are a carrier, donate blood?

Sent by Ina, më 13 May 2017 në 11:12

Hello, it is possible to donate; this often happens because many people are unaware. Again, ferritinemia matters. If it is low, the lost = donated blood cannot be recovered, and alongside congenital anemia, iron deficiency anemia will also be exacerbated

Replay from Dr. Shk. Sotiraq Lako, më 14 May 2017 në 07:21

Hello, my son is 3 and a half years old and 6 months ago he had a platelet count of 57,000. Since then, we have been doing a complete blood count every two weeks, and his platelet count has fluctuated from 100,000 to 230,000 without morphological changes, while the most recent results were WBC 6.4, RBC 4.67, Hgb 11.30, HCT 34.40%, PLT 90, PCT 0.50%. He has only been given vitamin C for two weeks. Now, doctors in Kosovo have told me to take him for a check-up after two or three months. If possible, I would appreciate an explanation from your side. Thank you for your understanding

Sent by Besnik, më 16 May 2017 në 06:41

Hello, I treat adults (over 14 years old). However, based on my experience, since it is said that "the exact number of platelets is the number of peripheral blood platelets counted by a genuine specialist," I prefer that initially a real specialist counts the platelets and only if this number is low will we start discussing why it is so. If it is so, the degree of reduction is assessed (mild, moderate, severe, very severe), the presence or absence of clinical symptoms (hemorrhagic phenomena) as well as checking the liver function, the size of the spleen, the passage of various viral infections (hepatitis B, C, HIV), possible rheumatic disease. It could be Idiopathic Thrombocytopenic Purpura, an autoimmune disease (a diagnosis made by excluding other causes, at least in our countries). I would advise you that when you come to Albania, to have your platelets counted by specialist doctors for this and if they are indeed low, to evaluate why they are so. If we rely on the current values, the child has a moderate reduction in platelets, which does not justify any concern in the child, there is no specific treatment (corticosteroids are often used, but they have side effects), you can stay under the doctors' supervision

Replay from Dr. Shk. Sotiraq Lako, më 16 May 2017 në 08:02

Hello doctor! Today I received the results of my complete blood count + formula. Except for PLT 504 and PCT 0.52, all other values were within normal ranges. The dermatologist advised me to get these tests because I have skin redness and burning. Can you tell me, doctor, if these values indicate any problem? Thank you

Sent by Leda, më 19 May 2017 në 12:08

Hello Leda, the platelet count is considered elevated (144,000 - 444,000 mm3) and is assessed as a mild increase. I don't know your age, if you have other diseases besides skin redness, but platelets increase due to many factors related to direct blood diseases or other diseases (platelets increase from any acute inflammatory condition (skin inflammation, etc.), increase from iron deficiency, etc.). After a few days, you will do: peripheral blood analysis (repeat) + Ferritinemia + CRP + LDH + Abdominal Echo. We will discuss again

Replay from Dr. Shk. Sotiraq Lako, më 20 May 2017 në 02:58

Hello doctor! Today I did a complete blood test + formula and besides PLT 504 and PCT 0.52, all other values were normal. The dermatologist recommended the analysis because I have redness and burning of the skin. I wanted to know please if these values pose any problem? Thank you!

Sent by Leda, më 19 May 2017 në 12:17

Hello Leda, the platelet count is considered elevated (144,000 - 444,000 mm3) and is assessed as a mild increase. I do not know your age, or if you have other diseases besides skin redness, but platelets increase due to many factors related to direct blood diseases or other illnesses (platelets increase due to any acute inflammatory condition (skin inflammation, etc.), increase due to iron deficiency, etc.). In a few days, you will have: peripheral blood analysis (repeated) + Ferritinemia + CRP + LDH + Abdominal Echo. We will discuss again

Replay from Dr. Shk. Sotiraq Lako, më 20 May 2017 në 02:58

My age is 42 years old.
My ferritin level came out within the normal range, and the liver test, the transaminases were fine. Thank you for your answer and suggestion!

Sent by Leda, më 20 May 2017 në 12:55

I don't know if it matters that 5-6 years ago I was diagnosed with Hodgkin's Lymphoma and after chemotherapy, I am fine. I have had periodic checks and have not had any more problems. Now I have two small adrenal formations but after the examinations I did a year ago for hormones, they told me there is no problem. Are these related to the platelets, please? Thank you!!

Sent by Leda, më 20 May 2017 në 13:03

Hello Leda, I would like to know what the Ferritin level was

Replay from Dr. Shk. Sotiraq Lako, më 21 May 2017 në 14:21

Ferritin 14.4ng/ml

Sent by Leda, më 21 May 2017 në 23:07

Ferritinemia is low (<20 ng/ml in females), you will take Heferol 350 mg 2 x 1 capsule/day + Vitamin C 100 mg 2 x 1 tablet/day for 2 months, but after 1 month you will do another blood test to check the platelets and after 2 months another ferritin test for the complete correction of it (about 60 ng/ml). If the number of platelets decreases, the cause is the lack of iron and not other problems. The reason why iron is missing = blood loss, where in females, menstruation plays the main role

Replay from Dr. Shk. Sotiraq Lako, më 22 May 2017 në 02:01

Hello doctor. Please can you tell me if you also perform consultations for children?
Thank you!
Sonila

Sent by Sonila, më 27 May 2017 në 08:16

Hello Sonila, I am over the age of 14. I don't know how old your child is, the principles are the same for diagnosis, treatment

Replay from Dr. Shk. Sotiraq Lako, më 27 May 2017 në 08:33

Hello doctor,
my daughter is 6 years old. Can you carry out the visit? If not, could you please recommend me a doctor?

Thank you!
Sonila

Sent by Sonila, më 30 May 2017 në 07:00

Hello Sonila, can you tell me some things about the concern you have?

Replay from Dr. Shk. Sotiraq Lako, më 30 May 2017 në 08:15

Hello doctor, my daughter complains that her legs hurt a lot. A few months ago, I had a blood test done according to the instructions of the pediatrician Gezim Gjata and her parameters were ok. Since the concern continued, I visited the orthopedist Artid Duni, who told us that the girl had nothing wrong. Since she easily gets bruises when she plays and bumps into things, he advised a visit to a hematologist, that's why I turned to you. My daughter often complains that her legs hurt. Thank you!

Sonila

Sent by Sonila, më 31 May 2017 në 05:51

Hello Sonila, regarding the issues with hemorrhagic spots, we can discuss together. You can come this week to the American Hospital, 9-12 o'clock and on Saturday, and we can discuss

Replay from Dr. Shk. Sotiraq Lako, më 31 May 2017 në 08:12

Hello Doctor! A few days ago, my 67-year-old father was diagnosed with Myelodysplasia after a bone marrow analysis. My father has leukocytes 2300, segments 26%, bands 5%, lymphocytes 50%, monocytes 16%, reticulocytes 3%. The doctor told him to do a bone marrow biopsy. I asked about treatment and was told at this stage there is no cure for this disease. Is this disease really incurable, doctor? I am very worried. I have written to you before but it seems my father has understood and is not convinced to visit again. Besides the mouth sores from fungus, he has no other concerns. The abdominal echo came out very good. Tests for bacteria came out very good. Please, I would appreciate your response. Thank you!

Sent by Enkelejda, më 31 May 2017 në 10:57

Hello Enkelejda. Myelodysplastic Syndromes need to be confirmed, and the Red Bone Marrow Biopsy is part of the diagnosis, including cytological analyses which we do not perform in Albania. There are no specific treatments for these diseases. The treatments are symptomatic, so if there are recurrent infections, they will be treated with antibiotics, antifungals, etc., if white blood cells are low, growth factors may be used, if there is anemia, blood transfusion will be administered, treatment with Erythropoietin. We do not use, but in developed countries a drug called Vidaza is used, which in fact is expensive and in some cases leads to improvements up to a temporary halting of the disease. The only potentially curative therapy (i.e., not in all cases) is the Allogeneic Bone Marrow Transplant, which we do not apply, not only because of the high cost, but also due to the increased risk of death, age is a limitation, finding a donor is again difficult

Replay from Dr. Shk. Sotiraq Lako, më 31 May 2017 në 12:00

Excuse me, doctor, for the bother, but if we find and bring the Vizada preparation here, can it be used? Is it a form of chemo or simply an injection?

Sent by Enkelejda, më 31 May 2017 në 13:02

Hello Enkelejda, I don't know if the Myelogram has been done. Initially, the level of malignancy of Myelodysplastic Syndrome (low, intermediate, and high) is determined at least with the Myelogram and Peripheral Blood (Bone Marrow Biopsy and Cytology are important for the diagnosis and prognosis of the disease). In the case that the level of malignancy is low, it's not worth treating with Vidaza, if it's the other two levels it might be, despite the cost it has (it can provide temporary improvements and delays the transformation into Acute Leukemia).

Vidaza is used as follows, for 7 consecutive days, subcutaneously with cycles every 28 days for at least 4 of them if a result is obtained and continued until the best result is achieved.

The cost is significant, about 5000 euros for each treatment cycle.

The possible benefits from the treatment are as follows.

5-Azacytidine at a dosage of 75 mg/m^2/day subcutaneously for 7 days of a 28-day cycle with a minimum of four courses planned. 3 additional cycles were administered to responding patients, whereas those with partial responses continued 5 Azacytidine until complete response or relapse.

Hematologic responses occurred in 60% of patients on the 5-azacitidine arm (7% complete response, 16% partial response, and 37% improved response).
The median time to leukemic transformation or death was 21 months for azacitidine versus 13 months for supportive care (P = .007).
The median duration of response was 15 months, and fewer than 1% of treated patients died on study.
Quality-of-life assessment found significant major advantages in physical function, symptoms, and psychological state for patients initially randomized to azacitidine

Replay from Dr. Shk. Sotiraq Lako, më 01 June 2017 në 08:20

Hello doctor, I have a problem with my platelets; I have a very low count, often falling below 10. I also experience nosebleeds, usually after having high blood pressure. I have been treated here in Kosovo for two years without success. How, where, and when can I come to you for a consultation? Thank you for your understanding

Sent by Lul, më 23 June 2017 në 04:26

Hello Mr. Lul. The reasons why platelets decrease are numerous. You can come one day to Tirana to discuss. Next week 9-12, American Hospital 1. Monday is a holiday, so from Tuesday to Saturday

Replay from Dr. Shk. Sotiraq Lako, më 23 June 2017 në 05:26

Thank you, is there a need for an appointment?

Sent by Lul, më 23 June 2017 në 05:32

No, next week you can come to American Hospital 1, 9-12 o'clock, Tuesday to Saturday

Replay from Dr. Shk. Sotiraq Lako, më 23 June 2017 në 08:42

Hello doctor, I have done a blood test and my hemoglobin level is HGB 18 and erythrocytes RBC 6.53 as well as HCT 50.4. Are these results indicative of any disease and how concerning might they be? I remind you that I have had a hemoglobin of 18 since I was 17 years old

Sent by abel, më 25 July 2017 në 07:00

Hello Abel, I would like to know the age, gender, and other components of the blood analysis (leukocytes, platelets, erythrocyte sedimentation rate)

Replay from Dr. Shk. Sotiraq Lako, më 25 July 2017 në 07:07

Hello Doctor, Thank you very much for your response
Gender: Male
Age: 25
Smoker: 9 years
Erythrocyte sedimentation rate: 2
WBC (White Blood Cell count): 10.5
Hct (Hematocrit): 50.4
Mcv (Mean Corpuscular Volume): 77.2
Mch (Mean Corpuscular Hemoglobin): 27.6
Mchc (Mean Corpuscular Hemoglobin Concentration): 35.7
Plt (Platelet count): 248
Baso (Basophils): 0.5%
EO (Eosinophils): 3.4%
Lymph (Lymphocytes): 6.3%
Neut (Neutrophils): 59.3%
PCT (Procalcitonin): 0.28%
P-LCR (Platelet-Large Cell Ratio): 34.7%
MPV (Mean Platelet Volume): 11.2%
PdW (Platelet Distribution Width): 14.1%

Sent by abel, më 25 July 2017 në 10:01

Hello Abel, the hematological changes are more likely secondary. It might be from smoking. You will undergo an abdominal ultrasound, we are interested in the size of the spleen and you should reduce, possibly eliminate the use of tobacco. After 1 month, repeat the peripheral blood analysis, erythrocyte sedimentation rate, LDH, uricemia

Replay from Dr. Shk. Sotiraq Lako, më 26 July 2017 në 05:40

Doctor, hello. I have a 10-month-old son and I have done his blood tests. The result is also HG 7.4%
Erythrocytes 3,540,000 Leukocytes 11,000. How do they look to you?

Sent by Elketa, më 31 Agust 2017 në 04:05

Hello Elketa, your son has anemia (moderate), the most likely possibility is that it's due to iron deficiency. I don't know your origin. You need to do ferritinemia and Hemoglobin Electrophoresis. If Ferritinemia is low = iron deficiency and he will take iron medication (you will discuss the dose with the pediatrician, usually 3 mg/kg body weight elemental iron). The treatment lasts for at least 3 months straight, where after 1 - 1.5 months the correction of anemia is aimed for and after 3 months also the replenishment of iron stores (ferritinemia)

Replay from Dr. Shk. Sotiraq Lako, më 01 September 2017 në 07:59

Hello doctor! I have done a blood test with these results: RBC 4.07, Hgb 10.2, Hct 30.9, MCV 75.9, MCH 25.1, MCHC 33, RDW 14.4. WBC 7.9, Lymph 1.3, Mon 0.6, Gran 6.1, Lymph 16.2%, Mon 7.1%. Sedimentation 40, Ferritin 5.29, Serum Iron 77.3. What treatment should I take? Thanks

Sent by Naevi, më 02 September 2017 në 06:03

Hello Naevi, how old are you? You have Iron Deficiency Anemia, the most common anemia in medical practice. The cause of anemia is the lack of iron, and the reason for the iron deficiency is almost always repeated blood loss, where in females with menstruations, the menstruations are the main cause. If you are over 14-15 years old and do not have an allergic reaction to medications, you will take for at least 3 consecutive months; Heferol 350 mg 2 x 1 capsule/day + Vitamin C 100 mg 2 x 1 tablet/day + Vitamin B6 25 mg 2 x 1 tablet/day, and after 1 month you will do a complete blood count and after 3 months a complete blood count + ferritinemia

Replay from Dr. Shk. Sotiraq Lako, më 02 September 2017 në 09:38

Doctor, I am 29 years old and currently taking Ulcezol. Is there a problem with this treatment?

Sent by Naevi, më 02 September 2017 në 10:03

No problem, take the medication as I have written it for you, and after 1 month, you will do the peripheral blood analysis; complete blood count

Replay from Dr. Shk. Sotiraq Lako, më 03 September 2017 në 07:31

Greetings! I am Elketa from Shkodra. I have a 10-month-old son, and I got his blood tests done. The results are as follows: WBC 5,700 RBC 4,520,000 HGB 10.7 g/dl HCT 34.3% MCV 75.9fl MCH 23.7pg MCHC 31.2g/dl RDW 16.1% PLT 243,000 MPV 8.4fl PCT 0.204% PDW 13.4%. Erythrocyte sedimentation rate 10mm/h

Sent by Elketa, më 06 September 2017 në 08:06

Hello Elketa, according to the criteria set by the WHO for anemia in children aged 0.5-5 years, it is considered anemia when the hemoglobin is less than 11 gr/dl, so the boy has mild anemia. It is good to do a ferritin test to determine the iron stores because if it is low, he should take iron medication. Children often have an iron deficiency, and consequently, Iron Deficiency Anemia, because they grow quickly, and their iron requirements are increased. If you are breastfeeding and you do not have iron (your ferritin level is low), you cannot give iron to the child either. He will take iron medication. Consult with the pediatrician, the doses we usually use are 3 mg of iron per kg of weight

Replay from Dr. Shk. Sotiraq Lako, më 07 September 2017 në 10:30

Hello Doctor, I have a 20-month-old daughter who is a carrier of Thalassemia Minor. I have done the tests and these are the results:
WBC 9.2
RBC 5.48H
HGB 10.1L
HCT 32.4l
MCV 59.1L
MCH 18.4 L
MCHC 31.2

LV 60.3H
MO 7.8F3
GR 31.9F3

RDW 13.9%
PCT 0.38%
MPV 8.2%
PDW 18.2H%
Sideremia 84.0
Ferritin 49.40.

What should I give her since the doctor told me to give her Ferrosil plus, should I give it to her?

Sent by Ava , më 06 September 2017 në 08:55

Hello Ava, Thalassemia Minor is a mild hereditary disease and everything that is hereditary cannot be treated. Therefore, Thalassemia Minor is not treatable. Ferritin levels are normal, indicating that the child has normal iron levels and does not need iron treatment. Let the child live their life. If you have other children, you will do the same tests for them that you did for your daughter. Certainly, one of the parents, or both, are at least carriers of Thalassemia Minor

Replay from Dr. Shk. Sotiraq Lako, më 07 September 2017 në 10:33

Hello Doctor, I have a 20-month-old daughter who is a carrier of Thalassemia Minor, I have done the tests and these are the results:

WBC 9.2
RBC 5.48H
HGB 10.1L
HCT 32.4L
MCV 59.1L
MCH 18.4 L
MCHC 31.2

LV 60.3H
MO 7.8F3
GR 31.9F3

RDW 13.9%
PCT 0.38%
MPV 8.2%
PDW 18.2H%
Sideremia 84.0
Ferritin 49.40.

What should I use because the doctor told me to give her Ferrosil Plus, should I give it to her?

Sent by Ava , më 06 September 2017 në 09:09

Hello Ava, Thalassemia Minor is a mild congenital disease, and everything that is congenital cannot be treated. So, Thalassemia Minor is not treatable. Ferritinemia is normal, indicating that the child has iron levels within the normal range and does not need iron treatment. Let the child live their life. If you have other children, you will do the same tests for them as you did for your daughter. Of course, one of the parents, or both, are at least carriers of Thalasemia Minor

Replay from Dr. Shk. Sotiraq Lako, më 07 September 2017 në 10:34

Hello doctor ...I am 44 years old, I did blood tests and my SGPT is 217 and SGOT is 157. The others came out fine, close to normal. I don't feel any pain. What should I be concerned about?

Sent by Valdete cela, më 13 October 2017 në 10:07

Hello Valdete, you will discuss these laboratory changes with the hepatologist, the doctor for liver diseases

Replay from Dr. Shk. Sotiraq Lako, më 14 October 2017 në 01:42

I wish you success in your work. Greetings Dr., I have done the analyses for my son, he is 17 months old, 12.5 kg, erythrocyte 5.57, Hg 9.1, Hct 30.6, MCV 56.7, MCHC, ferritin 5.05 (normal values 7-10), sideremia 17.1 normal values (33-140), and anemia was also observed in the blood smear, with only 2 target cells. It has been two weeks since I started him on Ferrodep, 5ml per day, and Fortavit Bambini. What do you think, is it just anemia or is electrophoresis of Hg necessary? As a couple, we have not suffered from anemia and until a month ago, his hemoglobin was 11.7. Thank you, I await your response

Sent by Evi, më 18 October 2017 në 15:28

Hello Evi, the data goes for Mild Iron Deficiency Anemia. You will continue treatment with the goal of Hb > 11 gr/dl and until the correction of ferritinemia. In children, there is always a mismatch between the number of erythrocytes and the value of hemoglobin. Hemoglobin electrophoresis is best done after the age of 4 years. To exclude a congenital anemia in a child at this age, it's better for both you and your spouse to get tested (complete blood count + ferritinemia + Hemoglobin electrophoresis). If you don't have it, the child cannot have it either

Replay from Dr. Shk. Sotiraq Lako, më 19 October 2017 në 03:28

Hello doctor, from what I have read, I trust that you will also give me an answer. A month ago, I did a blood test for anemia and the results came out: HGB 8.9, HCT 28.9, MCV 63.4, MCH 19.5, MCHC 30.8, RDW-CV 19.4. After 2 weeks, I did another analysis and noticed that this anemia had increased HGB 8.6. I was given FERRO3 Forte orally for 7 days and after I finished the oral treatment, I was given FERRO3 Forte 570 mg capsules orally, but when I take it, it gives me diarrhea. I take this capsule once a day with food. Do you recommend me to do another analysis to see the anemia because my face is very pale? I am 15 years old. I was told that I excrete iron through food in feces because for 2 weeks I had been eating liver every day, fish, fruit juices, and the result was an increase in anemia from 8.9 to 8.6. Please respond, I trust you

Sent by Denisa Alla, më 19 October 2017 në 11:52

Hello Denisa, I don't know what your red blood cell count is, but the fact that the MCV is low indicates that you have Microcytic Hypochromic Anemia, probably iron deficiency anemia (ferritin should be checked). If it is called Iron Deficiency Anemia, the cause of the anemia is a lack of iron, while the cause of the iron deficiency generally includes; iron consumption, and you are at an age where more iron is consumed, and iron loss, where in females who menstruate, the menstruations are generally the cause. Stool should also be checked for occult blood, parasites, and complete urine for other causes of iron loss. Treatment should be done with the proper medicinal dose of iron, but Ferro 3 is an iron supplement and in my experience, it is not effective, especially since you cannot expect results after 1 week of treatment. You will take Ironorm 3 x 1 capsule/day for at least 3 months straight. After 1 month, hemoglobin is checked and after 3 months of treatment, a complete blood count + ferritin + Hemoglobin Electrophoresis are done

Replay from Dr. Shk. Sotiraq Lako, më 20 October 2017 në 04:34

No anemia is caused by food, and no anemia is corrected by food. The spleen, spinach, etc. are nonsense. The primary goal of treatment is the correction of anemia (Hb > 12 gr/dl), and the ultimate goal is the correction of ferritin levels (around 60 ng/ml). But if the cause is not eliminated, the iron deficiency and/or anemia may recur

Replay from Dr. Shk. Sotiraq Lako, më 20 October 2017 në 04:36

Hello doctor, from what I have read, I trust that you will also provide me with an answer. A month ago, I had a blood test for anemia and the results came out as: HGB 8.9, HCT 28.9, MCV 63.4, MCH 19.5, MCHC 30.8, RDW-CV 19.4. After 2 weeks, I did another analysis and noticed that this anemia had increased, HGB 8.6. I was given FERRO3 Forte orally for 7 days and after I finished the oral treatment, I was given FERRO3 Forte 570 mg capsules orally, but as soon as I take it, it causes diarrhea. I take this capsule once a day during meals, do you recommend I do an analysis to check the anemia because my face is very pale? I am 15 years old. They told me that I excrete iron through stool because for 2 weeks I had been eating chicken liver every day, fish, fruit juices and the result was an increase in anemia from 8.9 to 8.6, please reply, I trust in you

Sent by Denisa Alla, më 19 October 2017 në 12:04

Hello Denisa, I do not know what the number of erythrocytes is, but the fact that the MCV is low indicates that you have Hypochromic Microcytic Anemia, probably iron deficiency anemia (ferritinemia should be done). If it is called Iron Deficiency Anemia, the cause of the anemia is the lack of iron, while the cause of the iron deficiency generally includes; iron consumption and you are at an age where more iron is consumed, and iron loss, where in females who have menstruations, generally the menstruations are the cause. Stool should also be checked for occult blood, parasites, and a complete urine test for other causes of iron loss. The treatment should be done with the proper medicinal dose of iron, but Ferro 3 is an iron supplement and in my experience, it is not effective, especially since you cannot expect results after 1 week of treatment. You will take Ironorm 3 x 1 capsule/day for at least 3 months straight. After 1 month, hemoglobin is checked and after 3 months of treatment; complete blood count + ferritinemia + Hemoglobin Electrophoresis are done.
No anemia is caused by food and no anemia is corrected with food. The spleen, spinach, etc., are nonsense. The primary goal of the treatment is the correction of anemia (Hb > 12 gr/dl) and the ultimate goal is the correction of ferritinemia (around 60 ng/ml). But if the cause, the lack of iron and/or anemia, is not eliminated, there is a possibility of recurrence

Replay from Dr. Shk. Sotiraq Lako, më 20 October 2017 në 04:46

Doctor, it's Denisa again, I am from LB. The doctors only prescribed this analysis for me because I have an iron deficiency. Please help me on how to proceed, what tests to do to determine the cause of the anemia. I am sending you the analysis results again because I see no improvement. My appetite is gone because Ferro 3 causes me bloating and discomfort. Please recommend where I should go and what tests to do. The analysis results are as follows: WBC 9.07 NEUT#6.88. LYMH# 1.68. MONO #0.45 EO# 0.03. BASO#0.03. NEUT%75.9. LYMPH %18.5. MONO%5.0 EO%0.3 BASO%0.3 RBC 4.56 HGB 8.9. HCT 28.9. MCV63.4. MCH19.5. MCHC 30.8 RDW-SD 43.6. RDW-CV 19.4. PLT 336. PCT 0.34. MPV10.2. P-LCR 27.9. PDW 13.2. This was the first analysis, after 1 week another analysis showed that HGB went to 8.9 RBC 4.48. HCT 28.3. Mch 19.2. MCV 63.2 MCHC. 30.4. With these analysis results, what is the answer for what I should be treated for, and what would you call this thing that is troubling me, it seems I am being treated for no reason!!! Please doctor, help me, I trust you

Sent by Denisa Alla, më 20 October 2017 në 05:46

Denisa, you have Microcytic Hypochromic Anemia, probably iron-deficiency anemia (ferritinemia should be done). If it's called Iron-Deficiency Anemia, the cause of the anemia is the lack of iron, while the causes of iron deficiency are generally; iron consumption and you are at the age where more iron is consumed and the loss of iron, where in females who have menstruations it's generally the menstruations. Checking for occult blood in stool, parasites, and complete urine screening for other causes of iron loss is also recommended. Treatment should be done with the correct medicinal dose of iron, but Ferro 3 is an iron supplement and in my experience, it is not effective, especially since you cannot expect results after 1 week of treatment. You will take Ironorm 3 x 1 capsule/day for at least 3 months. After 1 month, hemoglobin is checked and after 3 months of treatment; complete blood count + ferritinemia + Hemoglobin Electrophoresis are done. No anemia is caused by food and no anemia can be corrected with food. Spleen, spinach, etc., are nonsense. The primary goal of the treatment is the correction of anemia (Hb > 12 gr/dl) and the ultimate goal is the correction of ferritin levels (around 60 ng/ml). But if the cause of iron deficiency and/or anemia is not eliminated, there's a possibility it can recur

Replay from Dr. Shk. Sotiraq Lako, më 22 October 2017 në 08:12

Hello Dr., it's Evi again. Can Candida cause a decrease in hemoglobin? I have done a parasite test in feces, coproculture negative, Candida positive in mouth and feces. I have treated it with nystatin. In the mouth, stomatitis appeared, and the lips were cracking on the sides. Could this be the cause, my hemoglobin dropped to 9.1 from 11.7 within two months. Thank you

Sent by Evi, më 24 October 2017 në 04:34

Hello Evi, candidiasis does not cause a decrease in hemoglobin. It is possible that iron deficiency may be a cause for the decrease in hemoglobin and cracking of the corners of the lips. Ferritin levels should be checked

Replay from Dr. Shk. Sotiraq Lako, më 24 October 2017 në 05:34

Hello doctor! A month ago, I visited you regarding my father, who is 67 years old and has been diagnosed with Myelodysplasia. You recommended some tests, and I just got the results. Over this month, he has been taking folic acid and vitamin B6. His ferritin level came out to be 117 ng/ml, LDH 277 U/l.
WBC 2.77, RBC 3.87, HGB 12.9, Neut 0.95,
I wanted to know your opinion about these results. Thank you

Sent by Leda, më 08 November 2017 në 09:51

Hello Leda, Myelodysplasia is a disease that cannot be eliminated, but if the values of peripheral blood, although not normal, just need to be at an optimal number for life. Currently, the hemoglobin is almost normal, leukocytes slightly low. I don't know the number of platelets. She can continue with Folic Acid and Vitamin B6

Replay from Dr. Shk. Sotiraq Lako, më 09 November 2017 në 02:11

I am a bit worried about the LDH which is double the norm 277 Ul/l. The number of platelets PLT 198

Sent by leda, më 09 November 2017 në 05:39

The number of platelets is also normal. Elevated LDH can be observed in Myelodysplastic Syndromes

Replay from Dr. Shk. Sotiraq Lako, më 09 November 2017 në 08:59

Hello doctor, I am a woman from Tirana and a few days ago I did a complete blood test for my husband, and from the tests, it turns out that his Erythrocyte Sedimentation Rate is 45mm from the standard 5-20mm. And the laboratory told me that his red blood cells are full but small. What could it be, doctor? Is it something dangerous? My husband is 47 years old and engages in high physical activity... and dietary... could the lack of some food also influence it??
Please, I would really appreciate an answer from you. Thank you.
I have sent you the tests by email, if you could take a look I would be very grateful

Sent by ina, më 21 November 2017 në 09:21

Hello Ina, The erythrocyte sedimentation rate depends on many factors, and age is one of them. How old is your spouse? Could you write to me the peripheral blood analysis? When erythrocytes are smaller than the norm (microcytes), the 2 main causes are iron deficiency, Thalassemia Minor, or their combination

Replay from Dr. Shk. Sotiraq Lako, më 22 November 2017 në 01:31

Dear Sir/Madam, I have a 2-year-old daughter who is a carrier of thalassemia minor. From the tests conducted, these are the results:

WBC 10.60+
RBC 5.52
HGB 9.7-
HCT 30.4
MCV 55.1
MCH 17.6
MCHC 31.9
PLT 603

LYMPH% 44.7
MONO% 9.0
EO% 4.0
BASO% 0.4
NEUT% 41.9

LYMPH# 4.47
MONO 0.95
EO 0.42
BASO 0.04
NEUTO 4.45
RDW-CV 19.7
RDW-SD 35.4
PDW 12.1
MPV 10.3
P-LCR 28.4
PCT 0.62
Sideremia 157 ...
Erythrocyte Sedimentation Rate (ESR) 25mm/h

Sent by Ava , më 24 November 2017 në 10:24

Hello Ava, the data is characteristic of Thalassemia Minor, which is a mild congenital anemia, therefore it is not treated. When you do blood tests, also check the ferritin level. Depending on its value, it is judged whether we can use iron (for its deficiency), or not

Replay from Dr. Shk. Sotiraq Lako, më 25 November 2017 në 01:44

Hello doctor, I wanted to ask about a test that my husband did. Hemoglobin electrophoresis
Hb A 95.3, Hb F 1.8, Hb A2 2.9. I am a carrier of sickle cell disease, is there any risk, could he have beta-thalassemia minor? Thank you

Sent by eni, më 27 November 2017 në 08:32

Hello Eni, for your husband please also send the complete blood count + Ferritinemia. He is likely to have Talassemia Minor (carrier of Thalassemia) and since you are a carrier of sickle cell anemia, for every child that would be born there is a 25% chance to be healthy, 25% chance to be a carrier of sickle cell anemia, 25% chance to be a carrier of thalassemia and the main problem is that there is a 25% chance to be Thalassemia-Sickle Cell Disease

Replay from Dr. Shk. Sotiraq Lako, më 29 November 2017 në 03:38

Ferritin came out to 176.9 and the complete blood tests are in order except for Neutrophils 61.4 + Monocytes 8.6 + MCV 78.9 and MCH 26.6. Thank you

Sent by eni, më 27 November 2017 në 08:37

Hello Eni, the ferritin level is normal. Your husband is just a carrier of Thalassemia (Minor Thalassemia)

Replay from Dr. Shk. Sotiraq Lako, më 29 November 2017 në 03:39

Hello Eni, the ferritinemia is normal. Your spouse is just a carrier of Thalassemia (Minor Thalassemia)

Replay from Dr. Shk. Sotiraq Lako, më 29 November 2017 në 03:39

Doctor, hello. I wanted to ask or more precisely to get your opinion. I have done the tests and have been diagnosed with severe anemia. I have been given 2 medications, iron and B complex, and I am taking them, but still, I feel powerless and often feel faint even though I am taking the medications. How can you advise me? The results of the tests I have done are as follows:
RBC: 3.75
HGB: 5.4
HCT: 23.2
MCV: 61.9
MCH: 14.4
MCHC: 23.3
RDW: 20.9
WBC: 6.79
NE: 53.5
MO: 9.0
LY: 35.6
PLT: 409
MPV: 11.2
PCT: 0.32
PDW: 15.2
PLCR: 25.9
Please give me an opinion on what I should do, if I need to seek consultation elsewhere, or if they should give me different medications or what???

Sent by Xhesika, më 28 November 2017 në 15:39

Hello Xhesika, you have a severe anemia (HGb < 7 gr/dl), probably from iron deficiency. Ironorm is a good preparation, it should be taken 3 times/day for at least 3 months in a row. The first goal of the treatment is the correction of anemia (Hb > 12 gr/dl) and this will take about 1-1.5 months and after the anemia is corrected, the treatment continues for at least another 2 months to correct Ferritin (normal around 60 ng/ml). Only when the ferritin is corrected, will the hair loss be evaluated, if it does not fall, it shows that it was from the iron deficiency, if yes, there are other causes and you will discuss with the dermatologist

Replay from Dr. Shk. Sotiraq Lako, më 29 November 2017 në 03:34

Doctor, hello. I wanted to ask you or, more precisely, to get your opinion. I've done my tests and have been diagnosed with severe anemia. I've been given two medications, iron and B complex, and I'm taking them, but I still feel weak and often feel like fainting even though I'm taking the medication. How could you advise me? Here are the results of the tests I've done:
RBC: 3.75
HGB: 5.4
HCT: 23.2
MCV: 61.9
MCH: 14.4
MCHC: 23.3
RDW: 20.9
WBC: 6.79
NE: 53.5
MO: 9.0
LY: 35.6
PLT: 409
MPV: 11.2
PCT: 0.32
PDW: 15.2
PLCR: 25.9
Please give me your opinion on what I should do, whether I need to seek consultation elsewhere, get different medications, or something else???

Sent by Xhesika, më 28 November 2017 në 16:14

Hello Xhesika, you have severe anemia (HGb < 7 gr/dl), probably due to iron deficiency. Ironorm is a good preparation, it should be taken 3 times/day for at least 3 months straight. The first goal of the treatment is to correct the anemia (Hb > 12 gr/dl) and this will take about 1-1.5 months and after the anemia is corrected, treatment continues for at least another 2 months to correct Ferritin levels (normal around 60 ng/ml). Only when the ferritin levels are corrected, will the hair loss be assessed; if it does not fall, it indicates that it was due to iron deficiency, if it does, there are other causes and you will discuss with a dermatologist

Replay from Dr. Shk. Sotiraq Lako, më 29 November 2017 në 03:34

Doctor, excuse me again. These medicines have been prescribed to me to take twice a day, morning and evening. It's been 2 weeks since I started them and I continue to feel faint and powerless. A doctor friend of ours told me that the medicines I am taking are very good but the amount of iron they contain is not enough considering that I have severe anemia

Sent by Xhesika, më 29 November 2017 në 04:31

Hello Xhesika, please read again what I wrote to you before. Ironorm is a good preparation, it contains 61 mg of elemental iron and the daily therapeutic dose is 180-200 mg of elemental iron/day, so 3 tablets a day ensure this dose. For 2-3 weeks, it can improve anemia, but not iron stores, which take at least 3 months to correct. Only when Ferritinemia is corrected (not just the anemia) to about 60 ng/ml, you will not have fatigue and hair loss if these are directly linked to the iron deficiency (there are many other causes as well)

Replay from Dr. Shk. Sotiraq Lako, më 29 November 2017 në 13:55

Hello doctor! It's Leda again, and I'm inquiring about my father with Myelodysplasia. After the tests he did, which showed his leukocytes and hemoglobin slightly low, you recommended him to take vitamin B6 and folic acid. He took them for 2 months in a row. His condition is good except for the problem that his mouth becomes irritated. Should he continue with these, or does he need to do another test? Thank you!

Sent by Leda, më 16 December 2017 në 05:16

Hello Leda, vitamins are helpful (where Folic Acid is consumed), but they do nothing for Myelodysplasia. You will repeat; complete blood + ferritinemia

Replay from Dr. Shk. Sotiraq Lako, më 16 December 2017 në 09:32

Hello Doctor! Please could you tell me if there is a possibility that acute myeloid leukemia can be cured?

Sent by Elona, më 18 December 2017 në 16:19

Hello Elona, the primary goal of treatment when dealing with LAM is to achieve Complete Remission and then to maintain it for at least 5 years, even better for 10 years. In these cases, we talk about Operational Cure, but the possibility of the disease reappearing exists. Only time can show true healing = no recurrence of the disease. For older ages, the prognosis is not very good, and moreover, the application of therapies used for younger ages is not aimed for, thus the results are not what we aim for in younger ages. In these cases, we aim to extend life as much as possible, with the disease

Replay from Dr. Shk. Sotiraq Lako, më 19 December 2017 në 04:11

Doctor, thanking you for your response, I also wanted to mention that the patient with LAM is a 25-year-old who handled the first therapy very well, and the subsequent blood tests have come back very good, and the myelogram after therapy turned out very well. Is there a possibility for a spleen transplant in this case? Would any possible transplant in this case lead to the disease not manifesting? Thank you again!

Sent by Elona, më 19 December 2017 në 08:26

Hello Elona, the achieved result (Complete Conventional Remission) is the primary goal of the treatment. More sensitive techniques assess the presence or absence of remaining tumor cells. We do not have this capability. However, as a rule, after achieving Complete Conventional Remission, post-remission therapies = consolidative/intensifying therapy are used, the aim of which is to deepen the achieved result, i.e., if there are remaining tumor cells, to continue to destroy as many as possible. This includes Allogeneic Transplantation. So, it can be used as a consolidative therapy and is potentially curative. It can also be reserved as a later option, in case the disease might recur. If one remains in prolonged Complete Remission, at least 5 years, even better 10 years, even better forever, we talk about a Cure

Replay from Dr. Shk. Sotiraq Lako, më 20 December 2017 në 03:06

Hello Dr, I am unable to come for a visit because they won't give us permission. I have a hemoglobin of 11.9 and ferritin of 6.4. I have taken Ferro-Fast for a month and my iron has increased very little. The erythrocytes are good, 4.70, while the hematocrit is 33.6. Please recommend what medication I should take

Sent by Erjona Koleci, më 21 December 2017 në 03:00

Hello Erjona. You currently have an Iron Deficiency. Iron stores cannot be replenished with supplements like ferro fast. It takes 200 mg of elemental iron/day for at least 2 consecutive months to replenish them. And even more important is the elimination of the cause/causes of the iron reduction. You will take Heferol 350 mg 2 x 1 capsule/day, during or after meals + Vitamin C 100 mg 2 x 1 tablet/day for 2 months and after 2 months you will do the ferritin test. The goal is ferritin > 20 ng/ml, the optimal value for females is 60 ng/ml

Replay from Dr. Shk. Sotiraq Lako, më 22 December 2017 në 01:53

Hello Dr. Lako! First, I wish you a happy new year! I am bothering you with a problem for which I cannot find any solution. I am Rh negative and my husband is Rh positive of the blood group. I have just undergone the IVF procedure and am still waiting for the result, but in the meantime, the Indirect Coombs tests have come back positive, even the first 2 values 2+ positive. Immunization occurred due to a blood transfusion 20 years ago, where as a result of a medical error, I was given Rh-positive blood. I have read that in cases like mine, the baby always inherits the father's blood Rh, so positive, and will certainly be highly endangered by my blood's antibodies. I need to know if pregnancy occurs, are there sufficient capabilities in Albania for treatments such as blood transfusion to the fetus in the mother's womb or other necessary treatments. Or can such treatments only be done abroad? Thank you in advance

Sent by Eda, më 02 January 2018 në 11:33

Hello Eda, regarding the blood group of the child, it is not obligatory for it to be the same as the father's. You are Rhesus negative (phenotype) and your genotype (genetic basis) is dd. Your husband is Rhesus positive (phenotype) and his genotypes could be; DD, Dd. If he is DD, it is certain that the child's genotype will be Dd and the blood group for the Rhesus System = Rhesus Positive. If the husband's genotype is Dd, the child has a 50% chance of being Rh Positive and a 50% chance of being Rh negative. You will go to the National Blood Transfusion Centre, you will meet Dr. Irena Qendro, to specify what antibodies you have circulating (immunoglobulin IgG, IgM, complement factors). Only IgG can cross the placenta, but you can also do Immunoglobulins as therapy, according to specific protocols. Discuss it with Dr. Irena. Until today in Albania, blood grouping and transfusion in the intrauterine period has not been done. At American Hospital 3, a Greek neonatologist comes on Friday and you can discuss with him if you have the possibility for the realization

Replay from Dr. Shk. Sotiraq Lako, më 03 January 2018 në 04:37

Hello doctor. I would like to know your opinion after having my blood tests done. The result was this: ferrozine iron 39.5 ug/dL, ferritin 38.2 ng/mL, hemoglobin 13.9 g/dL, leukocytes 13.2, erythrocytes 4.62. From what I understood from the test results, only ferrozine iron is below the normal value. Please recommend something for me to take in these cases. Thank you very much for your answers. With respect, Bruna

Sent by Brunilda, më 03 January 2018 në 00:03

Hello Bruna, we do not value sideremia very much, what matters is ferritinemia, as the best indicator of iron stores. Your ferritin levels are currently optimal. I would recommend that you repeat the ferritin test, in a few months

Replay from Dr. Shk. Sotiraq Lako, më 03 January 2018 në 04:39

Hello doctor. I would like to know your opinion after I did the blood tests. The result was this: ferrozine iron 39.5 ug/dL, ferritin 38.2 ng/mL, hemoglobin 13.9 g/dL, leukocytes 13.2, erythrocytes 4.62. As far as I understood from the answer of the tests, only ferrozine iron is below the normal value. Please recommend something for me to take in these cases. Thank you very much for your answers. With respect, Bruna

Sent by Brunilda, më 03 January 2018 në 02:07

Hello Bruna, we do not value sideremia very much, what matters is ferritinemia, as the best indicator of iron stores. Your ferritin levels are currently optimal. I would recommend that you repeat the ferritin test in a few months

Replay from Dr. Shk. Sotiraq Lako, më 03 January 2018 në 04:40

Hello doctor. I would like to know your opinion after getting my blood tests done. The result was this: ferrous iron 39.5 ug/dL, ferritin 38.2 ng/mL, hemoglobin 13.9 g/dL, leukocytes 13.2, erythrocytes 4.62. From what I understand from the test results, only ferrous iron is below the normal value. Please recommend something for me to take in these cases. Thank you very much for your answers. With respect, Bruna

Sent by Brunilda, më 03 January 2018 në 04:17

Hello Bruna, we do not value sideremia much, what matters is ferritinemia, as the best indicator of iron stores. Your ferritin levels are currently optimal. I would recommend you to repeat the ferritin test in a few months.

And the leukocyte count is slightly elevated. Please also write down the leukocyte formula

Replay from Dr. Shk. Sotiraq Lako, më 03 January 2018 në 04:40

The leukocyte formula is: Neu 56.1%, LYM 33.1%, Mono 5.7%, Eos 4.8%, Baso 0.3%. Thank you for your suggestion

Sent by Brunilda, më 03 January 2018 në 11:17

The white blood cell formula is normal

Replay from Dr. Shk. Sotiraq Lako, më 04 January 2018 në 02:23

Greetings and respect to you, dear Doctor! Gender: female, age: 43. My hemoglobin level came out to be 7.4, lymphocytes 55%, granulocytes 32.4%, hematocrit 23.4%, MCV 61.7%, MCH 19.4%, RDW-CV 16.0%, P-LCR 7.4% and I am currently on a therapy of tot'hem 2×1 with vitamin C. I am worried because I found myself in this situation a year ago as well!... Where does the blood go since I do not have gynecological problems... I am worried, thank you in advance!

Sent by Kosovare, më 10 January 2018 në 09:04

Hello, some data are missing in the analysis you have written (the values of RBC, WBC, Plt, but you currently have Mild Microcytic Hypochromic Anemia. Treatment with Tot'hema is not optimal. You will take for at least 3 months consecutively: 1-Heferol 350 mg 2 x 1 tablet/day. 2-Vitamin C 100 mg 2 x 1 tablet/day. 3-Vitamin B6 25 mg 2 x 1 tablet/day and 4-Folic Acid 5 mg 2 x 1 tablet/day. Peripheral blood analysis will be repeated after 1 month and at the end of 3 months complete blood treatment and Ferritinemia. Only when ferritinemia is corrected (around 60 ng/ml), the anemia should be corrected for about 1-1.5 months of treatment, you are treated properly. And after ferritinemia is corrected, it is repeated after 5-6 months, to see the stability. If it drops, it indicates that there is a cause and generally are blood losses during menstruation (if you have menstruation and use 10-12 tampons for every cycle, it indicates that the blood loss is significant). It could also be any visible or invisible blood loss through urine, feces, etc

Replay from Dr. Shk. Sotiraq Lako, më 10 January 2018 në 11:07

Hello doctor. I would like to know your opinion on some tests that I have done in the American laboratory. The results are as follows: Antithrombin III 99.7% where the norm is from 80-120 %, Protein C 111.06 % where the norm is from 72-160 %, Factor V Leiden (APC-R) 0.540 where the norm is 0.8-1.1, Protein S 97.3 % where the norm is 60- 150, Phospholipid IgG 4.30 U/ml where the norm is <10 negative > 10 positive, Phospholipid IgM 1.80 where the norm is <10 negative >10 positive. I am concerned about the low result of Factor V Leiden. Can you give me your opinion? With respect..

Sent by Anjeza Sinanaj, më 11 January 2018 në 09:44

Hello Anjeza. Why did you do the above tests? APC-R indirectly indicates the presence or absence of mutated Factor V (an inherited pathology) that promotes the development of thrombosis. The norms we use; APC-R the normalized ratio

1. ≥ 0.7 - normal.
2. 0.4-0.7 - heterozygous.
3. <0.4 - homozygous.

Based on the value you have, you might have the genetic mutation, heterozygous (one normal gene and another pathological), responsible for the production of the mutated, clotting Factor V. As a rule, a direct genetic analysis is conducted = Factor V Leiden (Factor V G1691A)

Replay from Dr. Shk. Sotiraq Lako, më 12 January 2018 në 03:38

Hello doctor! I am inquiring again about my father with Myelodysplasia. I wanted to know your opinion regarding his condition after the latest test results. WBC 2.87/ RBC 3.72/ HGB 12.4/ HCT 35.7/ MCV 96.0/ MCH 33.3/ MCHC 34.7/ PLT 208/ RDW-SD 46.1/ RDW-CV 13.9/ PDW 11.1/ MPV 11.0/ P-LCR 31.2/ PCT 0.23/ NEUT 1.O3/ LYMPH 44.6%/ MONO 17.8%/ EO 0.3%/ BASO 1.4%. FERRITIN 114 Thank you and regards

Sent by Leda, më 11 January 2018 në 09:55

Hello Leda, Myelodysplasia is not a curable disease. The current values of the father, reduction of leukocytes = mild leukopenia, mild anemia, normal platelets, are very good parameters for normal activities

Replay from Dr. Shk. Sotiraq Lako, më 12 January 2018 në 03:40

Hello doctor, I thank you for your online answers. I have a 7-year-old daughter and I did some tests because she is weak, looks pale, and has no appetite at all. After consulting with the pediatrician, I did some tests, one of which concerns me is the G6PD test since it came out 20.7 and CPR 3.2, ASLO 92.5 while HbA 96.9 A2 3.1. I am very worried and eagerly await your response. Thank you in advance!!!

Sent by Ajla, më 11 January 2018 në 15:33

Hello Ajla, it's good that you wrote to me the complete analysis of the peripheral blood. I don't know if you have done the ferritin? Hemoglobin electrophoresis, the values are normal, but it is not sufficient to make a judgment. We are concerned about the deficiency of G6PDH (the norm we use is 8.8-13.4 U/g Hb), but you can write to me the norms used by the laboratory where you had the analysis done. CRP and ASLO should be discussed with the ENT doctor

Replay from Dr. Shk. Sotiraq Lako, më 12 January 2018 në 03:46

When I came to you asking for folic acid and vitamin B6 for my dad. Should he continue taking it or is his iron level within the normal range?

Sent by Leda, më 12 January 2018 në 05:04

Hello Leda, Myelodysplasia is a disease where Folic Acid is consumed. Its stores last for 2-4 months. So, you can take a break and then start again after a few months

Replay from Dr. Shk. Sotiraq Lako, më 12 January 2018 në 09:41

Thank you for your response. The laboratory rate that I did the G6PDH analysis was mU/ml (0.0-18). Another analysis is: WBC 9.22 RBC 4.76 HGB 12.4 HCT 35.8 MCV 75.2 MCH 26.1 MCHC 34.6 PLT-Platelets 256 RDW-SD 37.3 RDW-CV 14.0 PDW 10.2 MPV 9.2 P-LCR 18.8 PCT 0.23 NEU -Neutrophils 4.17 LYMP-Lymphocytes 4.27 MON-Monocytes 0.65 EO-Eosinophils 0.12 BAS-Basophils 0.01 NEU%-Neutrophils 45.3 ..Segments 19.3 Rods 26.0 MON%-Monocytes 7.0 LYMP%-Lymphocytes 46.3 EO%-Eosinophils 1.3 BAS%-Basophils 0.1 Erythrocyte sedimentation rate 19 Blood glucose fasting 64.62 Liver test Negative SGPT-ALT 19.04 SGOT-AST 30.64 UREA 17.84 Creatinine 0.43 Ferritin 21.28 I believe I have been clear from what I copied from the analysis

Sent by Ajla, më 12 January 2018 në 10:08

Hello Ajla, the analyses you have written well are. Ferritinemia 21 ng/ml, theoretically is normal. You may use iron/vitamin supplements because the age is such that they grow quickly. G6PDH is normal, when you repeat the analyses, you may repeat it once again

Replay from Dr. Shk. Sotiraq Lako, më 13 January 2018 në 04:45

Thank you very much, doctor, I will definitely repeat the tests and even come to the hospital where you work to have a consultation with you. I forgot to mention that I had an ultrasound done on my daughter and her spleen was found to be 1 cm enlarged. What does this mean, could it be related to the pancreatitis?! And another thing I wanted to ask: I had the tests done a week ago, when would be the most suitable time for me to come and redo them, these days or should I wait a bit longer?

Sent by Ajla , më 13 January 2018 në 08:55

Hello Ajla, in the measurement of the spleen with ultrasound, there is always subjectivity, but if it is indeed 1 cm enlarged, it has nothing to do with the pancreas. The girl does not have a problem currently. When it is your turn for a check-up, you do it

Replay from Dr. Shk. Sotiraq Lako, më 13 January 2018 në 10:53

Hi, just to tell you that my myelogram came out with problems and I have been treated with prednisone for almost 3 months, and my platelets continue to decrease and I have episodes of skin hemorrhages and epistaxis

Sent by erjola , më 26 January 2018 në 01:45

Hello Erjola, the doctors have diagnosed it as ITP (Idiopathic Thrombocytopenic Purpura), an autoimmune disease that destroys platelets faster than it should. As a rule (85% of cases) it responds to cortisone treatment. If it's not responding, or is considered resistant to prednisolone, they will switch to other schemes, or there is a possibility of it being Myelodysplastic Syndrome (MB in bone marrow = 7%). These cases do not respond well to corticosteroid treatment

Replay from Dr. Shk. Sotiraq Lako, më 26 January 2018 në 05:05

Hello, Doctor. I am a very worried mother. I have a 7-month-old son, and they have told me that he has thalassemia. My husband is a confirmed carrier of thalassemia minor, while I tested with HbA 96.5 and HbA2 3.5, and the doctor told me that I am also a carrier. My son's results came back very bad. HbA 32.2, HbF 65.2, and HbA2 2.6. His Hb is 7.5

Sent by Sonja , më 27 January 2018 në 08:57

Hello Sonja, your Hb value is a borderline value and we evaluate it carefully. Your son has Thalassemia, which means that both you and your spouse are carriers of Thalassemia. The child will be followed up at the Hemoglobinopathy Centers (QSUT/Fier/Lushnje). If you are going to have other children, each of them needs to be studied (DNA) in the first weeks of pregnancy to assess the presence or absence of Thalassemia and then decide on the continuation of the pregnancy. For every other child you will have, there is a 25% chance that the child will be healthy; a 50% chance that the child will be a carrier, and a 25% chance that the child will be sick with Thalassemia

Replay from Dr. Shk. Sotiraq Lako, më 28 January 2018 në 09:03

Good afternoon Doctor, I am a concerned mother for my 15-month-old son. I did the analyses and according to the analyses, he has pronounced anemia.
HGB 5.7
FERRITIN 12.69 ng/ml
hemoglobin electrophoresis
HbA 96.0
HbF 2.4
HbA2 1.6

Sent by merita xhika, më 09 March 2018 në 07:20

Hello Merita, your son has significant anemia. You will consult with a hematologist, pediatrician at QSUT

Replay from Dr. Shk. Sotiraq Lako, më 09 March 2018 në 07:29

Hello doctor,

I read that you are not a pediatric hematologist, however, if you can, please give me an answer as I am very worried. I have a 9-year-old daughter and after she had a temperature of 38.5, I took her for a visit. The pediatrician directed me to get urine and blood tests. The urine analysis showed a moderate urinary infection. The blood analysis values were worrying as they are at these levels. WBC 3.3, Lym 1.3, Mon 0.4, Gran 1.5, Lym % 40, Gran % 46.6, RBC 4.2, HGB 10.8, HCT 34.4, MCV 81.9, MCH 25.7, MCHC 31.4, RDW 13.4, PLT 145, MPV 8.2, PCT 0.119, PDW 12.03. Currently, she is being treated with antibiotics for the infection. The low level of white blood cells and almost all other elements have worried me a lot, what diagnosis and prognosis is there. Thank you

Sent by Lorenca, më 12 March 2018 në 09:22

Hello Lorenca, the girl has a slight decrease in leukocytes (white cells) and mild anemia. They do not cause any concern for the child. There is no need for medication. After 2 weeks, repeat the complete blood count + ferritinemia. Peripheral blood analysis during viral periods is best avoided, as changes always occur, especially when the child is passing through it and is clinically well

Replay from Dr. Shk. Sotiraq Lako, më 12 March 2018 në 10:12

My son turns 7 years old in May. A year and a half ago, we noticed lymph nodes on his neck, which after an ultrasound appeared with the largest being 2.1 cm. It was suspected to be mononucleosis. But it did not show up in the tests. After some time, we did an ultrasound again and the lymph nodes had reduced to about 1 cm. However, they can still be seen with the naked eye continuously. Despite that, they become noticeable during viral infections. Please, I want to know what tests should be done and what medical examinations and visits are needed?

Sent by ina, më 16 March 2018 në 17:19

Hello Ina, besides the palpation assessment of the peripheral lymph node by a specialist doctor or pediatrician, the simplest assessment is with ultrasound, by good specialists. They can distinguish whether the lymph node is reactive (of an infectious nature) or pathological. Afterwards, other necessary analyses and examinations can be carried out

Replay from Dr. Shk. Sotiraq Lako, më 17 March 2018 në 02:38

Hello doctor,

I have always been anemic, but since last year when I did my tests, this year it seems something is not right.
First test: RBC 5.11, HGB 13.9, and hematocrit 44.9. I repeated the tests after a week and got RBC 5.05, HCT 42.6, and hemoglobin 13.9.

The hematologist said that there's nothing wrong, but I'm worried about this increase. I think that recently I have been continuously eating meat to fight the anemia I had. Moreover, I live in a place where smoking is prevalent. I am 30 years old. Now the idea is that I don't know whom to trust and what to do? I live in Pristina

Sent by Amanda, më 22 March 2018 në 17:44

Hello Amanda, you currently do not have anemia (Hb < 12 gr/dl in females). But you will do the Ferritin analysis. And if it is normal, you do not have hematological problems. Anemia is not caused by foods and cannot be corrected with foods. You can read the link
https://www.mjeket.al/index.php?go=article&id=103

Replay from Dr. Shk. Sotiraq Lako, më 23 March 2018 në 03:26

Hello Dr. Sotiraq! I am Aida from Lushnja. I would like to thank you if you could help me, doctor... I have developed severe anemia where my ferritin analysis came out to be 10 and white blood cells are slightly high. After following a diet regimen that I was supposed to, according to the family doctor, and being treated with ferrodep, today, after 12 days, I repeated the ferritin analysis and again it's 10, so I am worried. The doctor simply changed my medication to ferromax... what should I do? Thank you!

Sent by aida , më 26 March 2018 në 08:21

Hello Aida, the value of ferritin does not indicate anemia, the value of Hemoglobin does. How are your erythrocyte and hemoglobin values? A Ferritin level of 10 ng/ml is lower than the norm (for females, ferritin < 20 ng/ml = Iron Deficiency). It is the most common problem among females. The cause is almost always repeated blood loss, where in females, the primary role is played by blood loss during menstruation. Ferrodep is an iron supplement and certainly will not replenish the stores (ferritin) and moreover, 12 days is impossible. If you have anemia, treatment will be for at least 3 months straight;

1- Heferol 350 mg 2 x 1 tablets/day.
2- Vitamin C 100 mg 2 x 1 tablets/day.
3- Vitamin B6 25 mg 2 x 1 tablets/day.

Peripheral blood analysis will be done after 1 month and at the end of 3 months of treatment and Ferritin. If you only have low ferritin and hemoglobin > 12 gr/dl = only Iron Deficiency. You will take the medication for 2 months in a row and after 2 months, Ferritin will be checked

Replay from Dr. Shk. Sotiraq Lako, më 26 March 2018 në 09:24

Hello Aida, the value of ferritin does not indicate anemia, it is the value of Hemoglobin that indicates it. How are your erythrocyte and hemoglobin values? Ferritin at 10 ng/ml is lower than normal (for women ferritin < 20 ng/ml = Iron Deficiency). It is the most common problem in women. The cause is almost always repeated blood loss, where in women the main role is played by blood loss during menstruation. Ferrodep is an iron supplement and certainly will not replenish the stores (ferritin) and moreover, 12 days is impossible. If you have anemia, the treatment will be for at least 3 consecutive months;

1-Heferol 350 mg 2 x 1 tablet/day.
2-Vitamin C 100 mg 2 x 1 tablet/day.
3-Vitamin B6 25 mg 2 x 1 tablet/day.

Peripheral blood analysis will be done after 1 month and at the end of 3 months of treatment and Ferritin. If you only have low ferritin and hemoglobin > 12 gr/dl = only Iron Deficiency. You will take the medication for 2 consecutive months and after 2 months Ferritin will be checked

Replay from Dr. Shk. Sotiraq Lako, më 26 March 2018 në 09:24

Hello again, Doctor! Firstly, I must thank you for your explanation! My hemoglobin is 9.6 g/dL, erythrocytes are 3.79×10{6}/L, leukocytes are 2.9×10(3)/L, and the hematocrit is 33.8% - these are the lab results. If my iron drops so suddenly, should there be a reason for concern? Thank you very much!

Sent by aida, më 26 March 2018 në 12:06

Hello Aida, you have mild anemia, probably due to a lack of iron and a slight decrease in white blood cells (Grade I Leukopenia). Iron drops immediately only when a large amount of blood is lost, as a rule, it decreases gradually. You will also receive, in addition to the treatment I have prescribed for you, Folic Acid 5 mg 2 x 1 tablet/day and after 1 month you will have a peripheral blood analysis

Replay from Dr. Shk. Sotiraq Lako, më 27 March 2018 në 03:17

Good day. I live in Switzerland. And here, as identified by my doctor, I have very low ferritin levels; the reference values are 30 to 300, while I have a ferritin level of 16. My symptoms include complete fatigue, as if having bone pain, lack of concentration, headaches, difficult breathing, total weakness when walking, increased pulse, and poor sleep. I am not anemic; my hemoglobin and erythrocytes are normal. Does this mean that my symptoms are due to the very low ferritin because I have done many tests here, and all have been good according to doctors, except for the ferritin? Thank you very much if you respond because I am doubtful since I am not anemic, why is my ferritin so low, and do these symptoms that I have come as a consequence of the low ferritin without anemia?

Sent by Lindita , më 15 April 2018 në 04:54

Hello Lindita, you have an Iron Deficiency, which is the biggest problem in the world, especially for women. Iron deficiency causes fatigue, weakness, dry mouth, a shiny tongue, cracks at the corners of the mouth, a feeling of cold, brittle nails, difficulty swallowing, loss of concentration, and sometimes even loss of consciousness. It is treated with iron supplements, I don't know what is available in Switzerland, but in Germany they use; Ferro Sanol Duodenal 100 mg 2 x 1 capsule/day, for 2 consecutive months and after 2 months you will do ferritinemia. The goal is at least 20 ng/ml, the optimal value for women is about 60 ng/ml

Replay from Dr. Shk. Sotiraq Lako, më 15 April 2018 në 07:30

Good day. I live in Switzerland. And here, by the doctor's diagnosis, I have been identified with very low ferritin levels; the reference values are from 30 to 300, while I have a ferritin level of 16. My symptoms include complete fatigue as if bone pain, lack of concentration, headaches, difficult breathing, complete weakness when walking, increased pulse rate, and poor sleep. I am not anemic; my hemoglobin and erythrocytes are normal. Does this mean that these symptoms are due to the very low ferritin because I have done many analyses here and all of them have been good according to the doctors, except for the ferritin. Thank you very much if you respond because I am doubtful since I am not anemic, how can I have such low ferritin and do these symptoms I have come as a consequence of the low ferritin without anemia?

Sent by Lindita , më 15 April 2018 në 05:07

Hello Lindita, you have Iron Deficiency, which is the biggest problem in the world, especially for women. Iron deficiency causes fatigue, breakage, dry mouth, the tongue becomes shiny, cracks at the corners of the mouth, feeling of cold, nail breakage, difficulty swallowing, loss of concentration, sometimes even loss of consciousness. It is treated with iron supplements, I don't know what you have in Switzerland, but in Germany they use; Ferro Sanol Duodenal 100 mg 2 x 1 capsule/day, for 2 consecutive months and after 2 months you will do ferritinemia. The goal is at least 20 ng/ml, the optimal value for women is around 60 ng/ml

Replay from Dr. Shk. Sotiraq Lako, më 15 April 2018 në 07:31

Good day Dr. Sotiraq. I am Lindita, the mother who spoke with you on the phone last night. The medicine that the doctor has given me for iron is Ferro sanol, Ferrosi glycinatis sulfas capsules, 2x1. I have started taking it seven days ago. Perhaps it's too early to have noticed any change in my symptoms, which are exceptionally troubling me, especially the symptom of lack of concentration and a not very severe tightening in my head, but it doesn't let me rest. Yesterday on the phone, I informed you that on January 4th, I received an i.v. infusion for iron, and also during the iron infusion, I received a B12 depot ampoule. The iron infusion was called ferinject, and the doctor told me I should take 5 of those once a week to reach the desired value, with one infusion according to the doctor, the ferritin levels could increase by 15 to 30, also on the same day I received the iron infusion, I got a i.m. depot of vitamin D3, which is given once every 6 months. My ferritin before taking these preparations was 14, with reference values here being 30-300. But I took the preparations one month after having the tests done. That day when I went to the doctor to get the preparations, on the way I walked for about 15 minutes but felt very tired, I had difficult breathing, somewhat with belching as if I had problems, also had back pain and felt as if I had kidney pain. When I arrived at the doctor's, I told him about these symptoms that I felt for the first time, he did spirometry and my breathing parameters were fine, and I had no problems with my kidneys or with belching, then they gave me the therapy, so the iron infusion along with the B12 vitamin i.v. which lasted 20 minutes, after I finished the infusion they gave me the vitamin D3 i.m since in the tests I had 21 and the reference values here are 75-220. I received the therapy in the morning, in the evening I had very interesting symptoms for me, I couldn't stay still I had to move my legs by walking, my head was not very t

Sent by Lindita, më 18 April 2018 në 10:23

Hello Lindita, as we discussed, the lack of iron does not cause such concerns. It is not related to the iron infusion you had 4 months ago. You will continue with Ferro Sanol Duodenal 2 x 1 capsules/day, it is a very good preparation. You will continue it for 2 consecutive months and after 2 months, you will only do ferritinemia. The goal of the treatment is for ferritinemia to reach above 20 ng/ml and the optimal value for females is 60 ng/ml. Iron deficiency, indirectly assessed through ferritinemia, is the biggest problem in the world that people, especially women, face. It causes fatigue, dizziness, loss of balance, dry mouth, difficulty swallowing, numbness of the extremities, feeling of cold, hair loss, but these concerns are completely correctable with iron treatment and correcting ferritinemia

Replay from Dr. Shk. Sotiraq Lako, më 19 April 2018 në 05:03

Good day Dr. Sotiraq. I am Lindita, the mother who spoke with you on the phone last night. The medication prescribed by the doctor for iron is Ferro sanol, Ferrosi glycinatis sulfas capsules, 2x1. I have started taking it seven days ago. Maybe it's too early to feel any change in my symptoms, which are exceptionally troubling me, especially the symptom of lack of concentration and a not very intense headache but it won't let me rest. Yesterday on the phone, I informed you that on January 4th, I received an IV iron infusion, and also with the iron infusion, I received a B12 depot ampule; the iron infusion was called Ferinject, and the doctor said that I need to take 5 such sessions once a week to reach the right level, with one such infusion according to the doctor the ferritin levels could increase by 15 to 30; also on the same day I received the iron infusion, I took a depot D3 vitamin IM which is given once every 6 months. My ferritin before taking these medications was 14 from the reference values here 30-300. But I took the medications one month after doing the tests. That day when I went to the doctor to get the medications, I walked on the street for about 15 minutes but felt very tired, had difficulty breathing, somewhat choked as if I had problems, also had lower back pain and it felt like I had kidney pain. When I arrived at the doctor, I told him about these symptoms that I felt for the first time, he did a spirometry, and the breathing parameters were fine, and there were no problems with the kidneys or the choking, then they gave me the therapy, the iron infusion along with vitamin B12 IV which lasted 20 minutes, after finishing the infusion they gave me the vitamin D3 IM since my analysis showed 21 and the reference values here are 75-220. I received the therapy in the morning, in the evening I had very interesting symptoms for me, I couldn't sit still, I needed to move my legs by walking, my head was not very tight, my ears felt blocked as in an airpla

Sent by Lindita, më 18 April 2018 në 11:00

Hello Lindita, as we discussed, the lack of iron does not cause such worries. It is also not related to the iron infusion you had 4 months ago. You will continue with Ferro Sanol Duodenal 2 x 1 capsules/day, it is a very good preparation. You will continue it for 2 months straight and after 2 months you will only do ferritinemia. The aim of the treatment is for the ferritinemia to go above 20 ng/ml and the optimal value for females is 60 ng/ml. Iron deficiency, indirectly assessed with ferritinemia, is the biggest problem in the world that people, especially women, have. It causes fatigue, dizziness, loss of balance, dry mouth, difficulty swallowing, numbness of the limbs, feeling of cold, hair loss, but these are concerns that are completely correctable with iron treatment and correction of ferritinemia

Replay from Dr. Shk. Sotiraq Lako, më 19 April 2018 në 05:03

Good day Dr. Sotiraq. I am Lindita, the mother who spoke with you on the phone last night. The medicine that the doctor has given me for iron is Ferro sanol, Ferrosi glycinatis sulfas capsules, 2x1. I have started taking it seven days ago. Maybe it is too early to feel a change in my symptoms which are exceptionally troubling me, especially the symptom of lack of concentration and a not very severe tightness in my head but it doesn't let me rest. Yesterday on the phone, I informed you that on January 4th, I received an IV infusion for iron, and also along with the iron infusion, I received a B12 depot ampoule. The iron infusion was called ferinject and the doctor told me I need to take 5 of those once a week to reach the proper value, with one such infusion according to the doctor the ferritin levels could increase by 15 to 30. Also, on the same day that I received the iron infusion, I received a depot vitamin D3 injection which is given once every 6 months. My ferritin before taking these preparations was 14 from the reference values here 30-300. But I took the preparations one month after having the tests done. That day when I went to the doctor to get the preparations, I walked for about 15 minutes but I felt very tired, had difficult breathing, somewhat like choking as if I had problems, also back pain and it felt like I had kidney pain. When I arrived at the doctor, I told him about these symptoms that I felt for the first time, he did a spirometry and my breathing parameters were normal, and I didn't have problems with my kidneys or choking, then they gave me the therapy, the iron infusion along with vitamin B12 IV which lasted for 20 minutes, after I finished the infusion they gave me the vitamin D3 IM since in the tests I had 21 and the reference values here are 75-220. I received the therapy in the morning, in the evening I had very interesting symptoms for me, I couldn't stay still I had to move my legs by walking, my head was not very tight, my ears close

Sent by Lindita, më 18 April 2018 në 11:03

Hello Lindita, as we discussed, the lack of iron does not cause such concerns. It is also not related to the iron infusion you had 4 months ago. You will continue with Ferro Sanol Duodenal 2 x 1 capsules/day, it is a very good preparation. You will continue it for 2 consecutive months and after 2 months, you will only do ferritinemia. The aim of the treatment is for the ferritinemia to go above 20 ng/ml and the optimal value for females is 60 ng/ml. Iron deficiency assessed indirectly through ferritinemia is the biggest problem in the world for people, especially women. It causes fatigue, dizziness, loss of balance, dry mouth, difficulty swallowing, numbness of the sides, feeling of cold, hair loss, but these are concerns that are completely correctable with iron treatment and correction of ferritinemia

Replay from Dr. Shk. Sotiraq Lako, më 19 April 2018 në 05:03

Hello Dr. Sotiraq! I'm Aida. A month has passed since I took your medicine with Heferol, Folic acid, vitamin b6 and today I did the analysis according to your advice and the values are these: Hemoglobin 13g/dl, Erythrocytes 4.37x10^6/μl, Leukocytes 6.1x10^9/μl. What can you advise me now? Thank you very much!

Sent by aida, më 05 May 2018 në 05:18

Hello Aida, you have been corrected regarding anemia (Hemoglobin > 12 gr/dl). You will continue the treatment for another 2 months only with Heferolin and Vitamin C, the doses as you had them, and after 2 months you will do Ferritinemia. Only when ferritinemia is corrected (about 60 ng/ml), you have been properly treated

Replay from Dr. Shk. Sotiraq Lako, më 05 May 2018 në 11:36

Hello doctor! I have written to you several times and have also consulted with you in person about my father's disease, MYELODYSPLASIA. These are the results of the analysis in January 2018 (WBC 2.87/ RBC 3.72/ HGB 12.4/ HCT 35.7/ MCV 96.0/ MCH 33.3/ MCHC 34.7/ PLT 208/ RDW-SD 46.1/ RDW-CV 13.9/ PDW 11.1/ MPV 11.0/ P-LCR 31.2/ PCT 0.23/ NEUT 1.03/ LYMPH 44.6%/ MONO 17.8%/ EO 0.3%/ BASO 1.4%. FERRITIN 114).
The results of the analysis done today are (WBC 2.26; RBC 3.59; HGB 12; PLT 214; NEUT 0.65; LYMPH 1.15; MONO 0.44; EO 0.01; BASO 0.01. He has been feeling tired, worn out for a few days. Please doctor give me an answer as I am very worried. Maybe I need to come to consult with you

Sent by Leda, më 08 May 2018 në 10:57

Hello Leda, except for the decrease in leukocytes, the hemoglobin is in a good range. The decrease in leukocytes does not affect fatigue. The values are good for MDS. It is not a disease that we can treat, we help according to the needs. For leukocytes, we intervene when values are below 1,000 mm3, and for these, there are preparations that do not ensure permanent action. You can help with Folic Acid 5 mg 3 x 1 tablet/day + Vitamin B6 25 mg 3 x 1 tablet/day and after 1 month repeat the complete blood count

Replay from Dr. Shk. Sotiraq Lako, më 08 May 2018 në 11:57

A few days ago, she ran out of folic acid and vitamin B6

Sent by Leda, më 08 May 2018 në 12:00

Folic Acid is not included in the treatment of MDS, but there Folic Acid is consumed and to prevent the exacerbation of anemia from Folic Acid, we use it. But MDS is not affected by it at all

Replay from Dr. Shk. Sotiraq Lako, më 09 May 2018 në 04:12

Hello Dr. Sotiraq! I am Anila, I have a 16-year-old son for whom I did an Electrophoresis when he was 4 years old with these results: Hb A1=96.8% and HbA2=3.2%. I want to know if he is a carrier? Thank you very much!

Sent by anila , më 09 May 2018 në 00:59

Hello Anila, the hemoglobin electrophoresis is fine, but it doesn't detect all cases of Thalassemia carrier. You will tell me the value of RBC, Hb, and Ferritin as well

Replay from Dr. Shk. Sotiraq Lako, më 09 May 2018 në 04:11

Good evening Dr. Sotiraq. I wanted to ask this. My ferritin is very low. The reference values are 50 to 300, but mine in the analysis is 13. You have suggested that I take ferro sanol duodenal twice a day, but I also have low vitamin b12. Can I take a vitamin B complex and which one would you recommend? Thank you and best wishes

Sent by Linda, më 17 May 2018 në 16:39

Hello Linda, is the iron value you're presenting the ferritin level or the serum iron level? You are taking Ferro Sanol Duodenal, 2 x 1 capsules per day for iron deficiency, for 2 consecutive months. For the Vitamin B12 Deficiency, I prefer to initially use Vitamin B12 1000 mcg/day orally for 1 month and then repeat after 1 month to check whether the Vitamin B12 level in the blood has been corrected or not. If yes, it will be continued for another month. If not, you will take it by injections

Replay from Dr. Shk. Sotiraq Lako, më 18 May 2018 në 07:23

Hello Dr. Sotiraq. It's Linda again. My ferritin level is 13, while the reference values are 50-300, which means I have very low ferritin, and my symptoms are very pronounced. My whole body hurts, I have no strength, no concentration, my eyes are as if I cannot see and they feel tight, also my head in the frontal part feels tight and I have a noise in my head, as if I cannot think clearly at times and I don't have the patience to do a job for long, and my sleep is intermittent. The doctor has given me an iron infusion i.v. along with vitamin B12 injection i.v. However, when I did the analysis again, the ferritin is as I indicated, as well as the vitamin B12. They gave me the vitamin B12 together with the infusion directly and the infusion lasted 20 minutes. Best regards

Sent by Linda, më 18 May 2018 në 09:25

Hello Linda, iron deficiency causes weakness, fatigue, dry mouth, difficulty swallowing, loss of concentration, loss of balance, fainting at times, numbness of the extremities, feeling of cold, and can eventually lead to anemia, with the severity of symptoms depending on the severity of the anemia. Treatment is with iron orally or IV, but we are treating the consequence (iron deficiency is a consequence, not a disease) and if the cause of the loss/consumption of iron is not eliminated, the iron deficiency will recur. The same applies to Vitamin B12

Replay from Dr. Shk. Sotiraq Lako, më 19 May 2018 në 08:14

Sorry doc, I am Linda, you forgot to ask if all these symptoms are because of these deficiencies because nothing else in the analyses I did came out bad!

Sent by Linda, më 18 May 2018 në 09:27

Hello,
If you have cancer, do the complete blood count parameters come out normal or not? For example, colon cancer or stomach cancer.
Thank you

Sent by ENI, më 24 May 2018 në 08:50

Hello Eni, solid malignant tumors (of the intestine, stomach, breast, etc.) usually do not cause changes in peripheral blood analysis. However, if they infiltrate the Red Bone Marrow, they are accompanied by repeated blood losses, consume vitamin B12, folic acid, and may be accompanied by changes in peripheral blood analysis (anemia, etc.). A malignant tumor can also cause Chronic Inflammatory Anemia. In some cases, these changes may be the first to appear and by following them, the tumor is discovered

Replay from Dr. Shk. Sotiraq Lako, më 24 May 2018 në 09:32

Hello Dr. Lako, I am a 27-year-old girl, a few days ago I went through chickenpox. Before the chickenpox, I had two things appear, one was a hard lump on my head and the other felt like a gland on the same arm as the head lump. Day by day, a smaller one has appeared on my head and others on the neck from the other arm. The dermatologist who diagnosed me with chickenpox told me that they come as a consequence of the disease and would be the last to go away, but as the chickenpox is almost gone, these glands have increased. What do you suggest I do and do you think they are related to the chickenpox?? Thank you very much

Sent by Jonida, më 24 May 2018 në 16:57

Hello Jonida, viral diseases can also be accompanied by enlargement of the lymph nodes, if that is the case. You can have an ultrasound of these areas and the doctor will write if they are lymph nodes or not and if they are, their size and even more importantly, their structure. If he writes that they are lymph nodes and are reactive, they are probably related to the viral disease

Replay from Dr. Shk. Sotiraq Lako, më 25 May 2018 në 07:37

For example, doctor, I am 35 and suffer from chronic leukemia. I have a problem with elevated leukocytes. I have been using hydroxyurea, 2 in the morning and 2 in the evening, 500mg for 4 years. I have also used Tasigna 200mg for a while, but it's very expensive. How can I come to consult with you because if I don't use the medications, my leukocytes increase rapidly to, for example, 120. Best regards

Sent by Donat, më 27 May 2018 në 06:20

Hello Donat, you have Chronic Myeloid Leukemia and the chosen treatments are Imatinib, Tasigna, etc. They are very expensive. Here in Albania, they are provided for free by the state and are given only at the Hematology Service of QSUT

Replay from Dr. Shk. Sotiraq Lako, më 27 May 2018 në 06:44

Good evening doctor,
Please can you clarify if we have cancer in the body, does it show any change in the complete blood count? Or does the analysis not change?

Sent by Megi, më 02 June 2018 në 16:56

Hello Megi, in most cases, a solid cancer (stomach, breast, etc.) may not show changes in peripheral blood analysis. However, in some cases, it presents with changes; anemia, increased platelets, appearance of immature elements, precursors of red and white blood cells in the peripheral blood (when they shouldn't be), iron deficiency anemia, Vitamin B12 deficiency, etc. Hematological tumors almost always have changes in peripheral blood analysis

Replay from Dr. Shk. Sotiraq Lako, më 03 June 2018 në 11:04

Good evening, doctor,
Please can you explain if we have cancer in the body does it show any change in the complete blood count? Or does the analysis not change?

Sent by Megi, më 02 June 2018 në 16:59

Hello Megi, in most cases a solid tumor (stomach, breast, etc.) may not show changes in the peripheral blood analysis. However, in some cases, it does show changes; anemia, an increase in platelets, the appearance of immature elements, precursors of red and white blood cells in the peripheral blood (when they shouldn't be there), anemia due to iron deficiency, Vitamin B12 deficiency, etc. Hematological tumors almost always have changes in the peripheral blood analysis

Replay from Dr. Shk. Sotiraq Lako, më 03 June 2018 në 11:05

Hello doctor,
I wanted to ask you. My mother was diagnosed with Multiple Myeloma two years ago and was treated with Velcade. The second bone marrow biopsy showed an improvement in her condition, but she suffered a cerebral ischemia and passed away. The neurology doctors concluded that the Myeloma had influenced the ischemic stroke. Can this happen at a time when my mother had good blood parameters. (plasma cells 7%). Thank you

Sent by Rudina, më 05 June 2018 në 15:18

Hello doctor, my brother is 18 years old. We did his tests in Tirana and his Platelets are 105.00. x10^3/UL 150-450. Low
And Indirect Bilirubin 5.40 mg/dl. 0.0-8 High
Direct Bilirubin 3.30 mg/dl 0-0.5 High
Total Bilirubin 8.70 mg/dl 0-1. High

Final diagnosis is Spherocytosis.

When can I come to you for a check-up? If possible, please contact me at +37745349556.

Best regards

Sent by Leonit, më 10 June 2018 në 03:18

Hello Leonit, Spherocytosis is a congenital pathology. You can come whenever you want. I am at work, American Hospital 8:30 AM - 4:30 PM

Replay from Dr. Shk. Sotiraq Lako, më 10 June 2018 në 05:31

Hello doctor,
I wanted to ask you. My mother was diagnosed with Multiple Myeloma two years ago and was treated with Velcade. The second bone marrow test showed improvement in her condition, but she suffered a cerebral ischemia and passed away. The neurology doctors judged that the Myeloma had influenced the ischemic stroke. Can this happen at a time when my mother had good blood parameters. (plasma cells 7%). Thank you

Sent by Rudina, më 12 June 2018 në 05:21

Hello, please explain my following blood test results

WHITE BLOOD CELLS ARE: NEU(58.1), LYM(31.6), MONO(6.3), EOS(3.9), BASO(0.1).
RED BLOOD CELLS ARE: HGB(4.25), HCT(13.1), MCV(91.1), MCH(30.8), MCHC(33.9), RDW-CV(14.0)
PLATELETS ARE: PLT(227), MPV(8.4)
OTHER ELEMENTS ESR(14)

BLOOD WITH FORMULA
Segmented 48, Eosinophils 8, Basophils (-), Monocytes(6), Lymphocytes(38), Stabs(-)

Thank you and good work

Sent by jonida, më 18 June 2018 në 07:03

Hello Jonida, could you write to me again: The number of Erythrocytes and the value of Hemoglobin. Typically, RBC 4,250,000 mm3 and Hb 13.1 gr/dl. If they are as such, your analysis is normal

Replay from Dr. Shk. Sotiraq Lako, më 18 June 2018 në 08:21

Hello doctor. My 25-year-old son, who is healthy, had a routine analysis that showed his red blood cells slightly above the normal level, 5.56 when the norm was 5.4. Should we consult a doctor? Hemoglobin 17.1 while Hematocrit 46.9. Thank you

Sent by Rudina, më 06 July 2018 në 04:44

Hello Rudina, the criteria for being considered an increase in red blood cells (polycythemia) are Hemoglobin for males > 16.5 gr/dl, Hematocrit > 49.5%, and RBC > 5.5 million/mm3. In the peripheral blood analysis, you must also write down the values of leukocytes and platelets. However, the values of hemoglobin and erythrocytes do not correlate with hematocrit, so the analysis is open to discussion. One day you will repeat: complete blood count, Erythrocyte sedimentation rate, LDH, Abdominal Ultrasound. If the boy uses tobacco, he should avoid using it

Replay from Dr. Shk. Sotiraq Lako, më 06 July 2018 në 15:15

Doctor, hello, I have a 16-year-old sister and for 3 months she has developed two black marks, one under the shoulder and the other on the thigh. We took her to a dermatologist who suspected diabetes, we did the tests and she doesn't have diabetes (72 mg/dL fasting) and 97 mg/dL 2 hours after eating. Her RDW-CV is 11.2% and MCV is 11.2 fl. Thank you and good luck with your work

Sent by Orjada, më 18 July 2018 në 12:41

Hello Orjada, I don't know what kind of stains they are. Hemorrhagic stains are similar to cases when you get hit, the stain initially forms dark and then the color turns green, yellow until it is eliminated. If the stains are such (i.e., they are transient), at least the following analyses are done: complete blood count, PT, APTT, Fibrinogen, and Bleeding Time. The parameters you have written above are not related to hemorrhagic stains

Replay from Dr. Shk. Sotiraq Lako, më 19 July 2018 në 04:50

Hello Doctor. I have a 2.8-year-old daughter. In May, she was diagnosed with anemia after being hospitalized. (She suddenly had a significant breakdown and paleness, and until that period, she drank only cow's milk and had a marked lack of appetite both at home and in kindergarten). During the 1-day hospital stay, the analyses were as follows (Complete blood count: WBC 10.3, LYM% 43.7, MON% 4.0, NEU% 51.6, EOS% 0.2, BAS% 0.5, RBC 5.07, HGB 6.6, HCT 24.4, MCV 48.1, MCH 13.0, MCHC 27.0, RDW 16.7, PLT 578, MPV 8.7, PCT 0.500, PDW 38.0, ERYTHROSEDIMENTATION 9 (NORMAL VALUES 5-20MM/H)
The doctor prescribed treatment with Feromax 2 doses per day (30mg), vitamin C, and folic acid, one pill per day. The change in the girl's appetite was immediate. 5 full meals a day (without milk or other dairy) After 1 month of treatment as above, we did a complete blood analysis and hemoglobin electrophoresis again. The results are as follows:
Complete Blood Count WBC 8.2, LYM% 58.8, MON% 7.6, NEU% 29.4, EOS% 4, BAS% 0.2, LYM 4.8, MON 0.6, NEU 2.4, EOS 0.3, BAS 0.0, RBC 4.60, HGB 7.1, HCT 25.4, MCV 55.2, MCH 15.4, MCHC 28.0, RDW 24.4, PLT 412, MPW 8.8, PCT 0.364, PDW 36.5, Erythrosedimentation 6

Hemoglobin Electrophoresis HB A 98.1 (normal values 96.5-99) HB A2 1.9 (normal values 1.0-3.5)

Please, I really need your opinion and further treatment for my daughter. With respect, Jonida

Sent by Jonida, më 24 July 2018 në 07:03

Hello Jonida, if possible, could you have the girl's Ferritinemia tested? If it is low, it is considered iron deficiency and the treatment received has not been optimal (the increase of hemoglobin from 6.6 to 7.1 gr/dl is not the proper increase for 1 month of treatment). The treatment with iron will continue. The therapeutic dose for children is on average 3 mg/kg weight, elemental iron, which will be taken in consultation with a pediatric hematologist or pediatrician. If the ferritinemia is normal, it indicates that this change is not related to iron deficiency and iron treatment is not expected to be effective. If the Hemoglobin Electrophoresis is normal, alpha - Thalassemia could be suspected ?? The fact that there has been a clinical improvement suggests more likely an iron deficiency. If you live in Tirana, at the Central Laboratory of the American Hospital (near the "Geraldine" Maternity), there is a package - complete blood count + ferritinemia + Hemoglobin Electrophoresis and it costs only 22,000 old lek. This way, it reassesses the value of hemoglobin, the accuracy of the Electrophoresis, and the Ferritinemia value

Replay from Dr. Shk. Sotiraq Lako, më 24 July 2018 në 12:56

Hello Doctor. I have a 2.8-year-old daughter. In May, she was diagnosed with anemia after being hospitalized. (She suddenly had severe weakness and pallor; until that period, she drank only cow's milk and had a pronounced lack of appetite both at home and at daycare.) During the 1-day hospital stay, the analyses were as follows (Complete blood count: WBC 10.3, LYM% 43.7, MON% 4.0, NEU% 51.6, EOS% 0.2, BAS% 0.5, RBC 5.07, HGB 6.6, HCT 24.4, MCV 48.1, MCH 13.0, MCHC 27.0, RDW 16.7, PLT 578, MPV 8.7, PCT 0.500, PDW 38.0, ERYTHROSEDIMENTATION 9 (NORMAL VALUES 5-20MM/H))
The doctor prescribed treatment with Feromax 2 doses per day (30mg), vitamin C and folic acid, one tablet per day. The change in my daughter's appetite was immediate. 5 full meals a day (without milk or other dairy) After 1 month of treatment as above, we did a complete blood analysis and hemoglobin electrophoresis again. The results are as follows:
Complete Blood Count: WBC 8.2, LYM% 58.8, MON% 7.6, NEU% 29.4, EOS% 4, BAS% 0.2, LYM 4.8, MON 0.6, NEU 2.4, EOS 0.3, BAS 0.0, RBC 4.60, HGB 7.1, HCT 25.4, MCV 55.2, MCH 15.4, MCHC 28.0, RDW 24.4, PLT 412, MPW 8.8, PCT 0.364, PDW 36.5, Erythrosedimentation 6

Hemoglobin Electrophoresis: HB A 98.1 (normal values 96.5-99), HB A2 1.9 (normal values 1.0-3.5)

Please, I really need your opinion and the continuation of my daughter's treatment. With respect, Jonida

Sent by Jonida, më 24 July 2018 në 07:17

Hello Jonida, if possible, could you have the girl's Ferritinemia checked? If it is low, it is considered an iron deficiency and the treatment received has not been optimal (the increase of hemoglobin from 6.6 to 7.1 gr/dl is not the proper increase for 1 month of treatment). The treatment with iron will continue. The therapeutic dose for children is on average 3 mg/kg body weight of elemental iron, which will be taken in consultation with a pediatric hematologist or pediatrician. If the ferritinemia is normal, it indicates that this change is not related to iron deficiency and treatment with iron is not expected to be effective. If the Hemoglobin Electrophoresis is normal, alpha - Thalassemia ?? may be suspected. The fact that there has been a clinical improvement for the better, more likely suggests an iron deficiency. If you live in Tirana, at the Central Laboratory of the American Hospital (near "Xheraldine" Maternity), there is a package - complete blood + ferritinemia + Hemoglobin Electrophoresis and it costs only 22 thousand old lek. This way, it reassesses the value of hemoglobin, the accuracy of the Electrophoresis, and the value of Ferritinemia

Replay from Dr. Shk. Sotiraq Lako, më 24 July 2018 në 12:56

Hello Doctor. I have a 2.8-year-old daughter. In May, she was diagnosed with anemia after being hospitalized. (She suddenly had significant paleness and weakness, and up until that period, she drank only cow milk and had a pronounced lack of appetite both at home and in daycare.) During the 1-day hospital stay, the blood tests were as follows (Complete Blood Count: WBC 10.3, LYM% 43.7, MON% 4.0, NEU% 51.6, EOS% 0.2, BAS% 0.5, RBC 5.07, HGB 6.6, HCT 24.4, MCV 48.1, MCH 13.0, MCHC 27.0, RDW 16.7, PLT 578, MPV 8.7, PCT 0.500, PDW 38.0, ERYTHROCYTE SEDIMENTATION RATE 9 (NORMAL VALUES 5-20MM/H))
The doctor prescribed treatment with Feromax 2 doses per day (30mg), vitamin C, and folic acid one pill per day. The change in the girl's appetite was immediate. 5 full meals a day (no milk or other dairy products) After 1 month of treatment as above, we did the complete blood test and hemoglobin electrophoresis again. The results are as follows:
Complete Blood Count WBC 8.2, LYM% 58.8, MON% 7.6, NEU% 29.4, EOS% 4, BAS% 0.2, LYM 4.8, MON 0.6, NEU 2.4, EOS 0.3, BAS 0.0, RBC 4.60, HGB 7.1, HCT 25.4, MCV 55.2, MCH 15.4, MCHC 28.0, RDW 24.4, PLT 412, MPV 8.8, PCT 0.364, PDW 36.5, ERYTHROCYTE SEDIMENTATION RATE 6

Hemoglobin Electrophoresis HB A 98.1 (normal values 96.5-99) HB A2 1.9 (normal values 1.0-3.5)

Please, I am in great need of your opinion and the continued treatment of my daughter. With respect, Jonida

Sent by Jonida, më 24 July 2018 në 07:18

Hello Jonida, if possible, could you get Ferritinemia done for the girl. If it is low, it is considered an iron deficiency and the treatment received has not been optimal (the increase in hemoglobin from 6.6 to 7.1 gr/dl is not the proper increase for 1 month of treatment). The treatment with iron will continue. The therapeutic dose for children is on average 3 mg/kg of weight, elemental iron, to be taken in consultation with a pediatric hematologist or pediatrician. If ferritinemia is normal, it indicates that this change is not related to iron deficiency and treatment with iron is not expected to be effective. If the Hemoglobin Electrophoresis is normal, alpha-Thalassemia may be suspected?? The fact that there has been a clinical improvement tends more to suggest an iron deficiency. If you live in Tirana, at the Central Laboratory of the American Hospital (near the "Xheraldine" Maternity), there is a package - complete blood + ferritinemia + Hemoglobin Electrophoresis and it costs only 22 thousand old Lek. This way, it reassesses the value of hemoglobin, the accuracy of the Electrophoresis, and the Ferritinemia value

Replay from Dr. Shk. Sotiraq Lako, më 24 July 2018 në 12:56

Hello Doctor. I have a 2.8-year-old daughter. In May, she was diagnosed with anemia after being hospitalized. (She suddenly experienced severe weakness and pallor, and until that period, she only drank cow's milk and had a pronounced lack of appetite both at home and in kindergarten) During her 1-day hospital stay, the tests were as follows (Complete blood count: WBC 10.3 LYM % 43.7 MON% 4.0 NEU% 51.6 EOS% 0.2 BAS% 0.5 RBC 5.07 HGB 6.6 HCT 24.4 MCV 48.1 MCH 13.0 MCHC 27.0 RDW 16.7 PLT 578 MPV 8.7 PCT 0.500 PDW 38.0 ESR 9 (NORMAL VALUES 5-20MM/H) The doctor prescribed treatment with Feromax 2 doses per day (30mg), vitamin C, and folic acid, one tablet per day. The change in the girl's appetite was immediate. 5 full meals a day (without milk or other dairy products) After 1 month of treatment as described above, we did a complete blood count and hemoglobin electrophoresis again. The results are as follows: Complete Blood Count WBC 8.2 LYM% 58.8 MON% 7.6 NEU% 29.4 EOS% 4 BAS% 0.2 LYM 4.8 MON 0.6 NEU 2.4 EOS 0.3 BAS 0.0 RBC 4.60 HGB 7.1 HCT 25.4 MCV 55.2 MCH 15.4 MCHC 28.0 RDW 24.4 PLT 412 MPW 8.8 PCT 0.364 PDW 36.5 ESR 6

Hemoglobin Electrophoresis HB A 98.1 (normal values 96.5-99) HB A2 1.9 (normal values 1.0-3.5)

Please, I really need your opinion and the continued treatment for my daughter. With respect, Jonida

Sent by Jonida, më 24 July 2018 në 07:23

Hello Jonida, if possible, could you have the girl's Ferritinemia tested? If it is low, it is considered an iron deficiency and the treatment received has not been optimal (an increase in hemoglobin from 6.6 to 7.1 gr/dl is not the proper increase for one month of treatment). The treatment with iron will continue. The therapeutic dose for children is on average 3 mg/kg body weight, elemental iron, which will be taken in consultation with a pediatric hematologist or pediatrician. If the ferritinemia is normal, it indicates that this change is not related to iron deficiency and treatment with iron is not expected to be effective. If the Hemoglobin Electrophoresis is normal, alpha-Thalassemia may be suspected?? The fact that there has been a clinical improvement for the better, more likely suggests an iron deficiency. If you live in Tirana, at the Central Laboratory of the American Hospital (near "Xheraldina" Maternity), there is a package - complete blood count + ferritinemia + Hemoglobin Electrophoresis and it costs only 22 thousand old lek. This way, it reassesses the value of hemoglobin, the accuracy of the Electrophoresis, and the value of Ferritinemia

Replay from Dr. Shk. Sotiraq Lako, më 24 July 2018 në 13:00

Hello Doctor. My daughter is 2.8 years old. In May, she was diagnosed with anemia after being hospitalized. (She suddenly had severe fatigue and paleness; until that period, she drank only cow's milk and had a pronounced lack of appetite both at home and in daycare.) During the 1-day hospital stay, the analyses were as follows (Complete blood count: WBC 10.3 LYM% 43.7 MON% 4.0 NEU% 51.6 EOS% 0.2 BAS% 0.5 RBC 5.07 HGB 6.6 HCT 24.4 MCV 48.1 MCH 13.0 MCHC 27.0 RDW 16.7 PLT 578 MPV 8.7 PCT 0.500 PDW 38.0 ERYTHROCYTE SEDIMENTATION RATE 9 (NORMAL VALUES 5-20MM/H) The doctor prescribed treatment with Feromax 2 doses per day (30mg), vitamin C, and folic acid, one tablet per day. The change in the girl's appetite was immediate. 5 full meals a day (without milk or other dairy products) After 1 month of treatment as above, we again did a complete blood analysis and hemoglobin electrophoresis. The results are as follows: Complete blood count WBC 8.2 LYM% 58.8 MON% 7.6 NEU% 29.4 EOS% 4 BAS% 0.2 LYM 4.8 MON 0.6 NEU 2.4 EOS 0.3 BAS 0.0 RBC 4.60 HGB 7.1 HCT 25.4 MCV 55.2 MCH 15.4 MCHC 28.0 RDW 24.4 PLT 412 MPV 8.8 PCT 0.364 PDW 36.5 Erythrocyte sedimentation rate 6

Hemoglobin Electrophoresis HB A 98.1 (normal values 96.5-99) HB A2 1.9 (normal values 1.0-3.5)

Please, I really need your opinion and the continuation of my daughter's treatment. With respect, Jonida

Sent by Jonida, më 24 July 2018 në 08:15

Hello Jonida, if possible, could you have the girl's Ferritinemia checked? If it is low, it is considered an iron deficiency and the treatment received has not been optimal (an increase in hemoglobin from 6.6 to 7.1 gr/dl is not the proper increase for 1 month of treatment). The treatment with iron will continue. The therapeutic dose for children is on average 3 mg/kg body weight, elemental iron, which will be taken in consultation with a pediatric hematologist or pediatrician. If ferritinemia is normal, it indicates that this change is not related to iron deficiency and iron treatment is not expected to be effective. If the Hemoglobin Electrophoresis is normal, alpha - Thalassemia can be suspected?? The fact that there has been a clinical improvement suggests more likely an iron deficiency. If you live in Tirana, at the Central Laboratory of the American Hospital (near the "Geraldine" Maternity Hospital), there is a package - complete blood count + ferritinemia + Hemoglobin Electrophoresis and it costs only 22 thousand old lek. In this way, it re-evaluates the value of hemoglobin, the accuracy of Electrophoresis, and the value of Ferritinemia

Replay from Dr. Shk. Sotiraq Lako, më 24 July 2018 në 13:00

Hello Doctor..I have a 4.7-year-old son. In May, my son was admitted to the hospital and was diagnosed with infectious mononucleosis after being hospitalized. The results of the tests are these: WBC 8.6, LYM 4.9, MON 0.7, GRA 3.0, LYM 57.1, MON 7.7, GRA 35.2, RBC 4.71, HGB 11.8, HCT 37.9, MCV 80.5, MCH 25.1, MCHC 31.1, RDW 14.3, (PLT 503), MPV 7.5, PCT 0.377, PDW 13.4, ERYTHROSEDIMENTATION 15mm/h. I am very worried because I repeated the tests for my son a week ago and the PLT has increased even after leaving the hospital... I seek your help.. respects.

Sent by Shqau, më 13 Agust 2018 në 07:55

Hello, one of the reasons for the increase in platelets is iron deficiency. You will have the child undergo Ferritinemia, and if it turns out to be low, they will be treated with iron supplements

Replay from Dr. Shk. Sotiraq Lako, më 13 Agust 2018 në 09:24

Thank you very much for the response. I have done the ferritin test and it came out very well, within the norms, meaning it's not low. The test for infectious mononucleosis that I have done for my son is this: ANTI-EBV IGG 19.5Ul/ml, IGM 1.4. C-reactive protein <3.69mg/L. He also has small but frequent glands on both sides of his neck, which worries me more. I thank you very much for the answers you give me

Sent by Shqau, më 13 Agust 2018 në 11:53

Hello, and any infection can be a cause for the increase in platelets. However, it is about a slight increase in them, which does not cause concerns in everyday life. It is better to talk to your pediatrician

Replay from Dr. Shk. Sotiraq Lako, më 13 Agust 2018 në 14:00

Hello doctor, I wanted to ask about something, what should be used for G6PD deficiency?

Sent by Kristian, më 02 September 2018 në 05:45

Yes, G6PD is confirmed, it's around level 4, but I would like to ask if there's a high risk to life and what foods should I consume because those that I should not consume I know, like fava beans and other legumes, thank you very much, doctor!

Sent by Kristian, më 03 September 2018 në 03:28

Then you will consume all except for the tails. As long as it does not come into contact with any of the triggers that cause the hemolytic crisis, there is no risk to life

Replay from Dr. Shk. Sotiraq Lako, më 03 September 2018 në 05:40

Thank you very much, doctor. I would like to ask you one more thing: is the continuation of taking both vitamin B6 and folic acid necessary? I am currently continuing them. And regarding the consumption of 1 coffee per day, it's not that there is anything preventing me from consuming it. Once again, thank you

Sent by Kristian, më 03 September 2018 në 05:44

Hello Kristian, vitamins can help when you have repeated hemolytic crises. If you have no concerns, there's no need. Under normal conditions, erythrocytes are not destroyed in G6PDH deficiency. Coffee has never been discussed as an issue for this problem, so you can use it

Replay from Dr. Shk. Sotiraq Lako, më 04 September 2018 në 02:47

Hello doctor, I wanted to ask if G6PD has any negative impact because I want to remove a tooth that is infected...thank you!

Sent by Kristian, më 05 September 2018 në 12:21

Before Christian, you need to determine the degree of deficiency (divide your value by the smallest standard value and multiply by 100).

Class I Deficiency - Chronic Hemolytic Anemia. Class II Deficiency = Severe Form < 10%, Class III - Moderate Deficit 10-60%, Class IV mild 60-150%. For the mild class, there are not many restrictions. Tooth extraction is not a problem, the medications that can be used for anesthesia and possible antibiotics will be evaluated based on the table that you can obtain from the link I sent you

Replay from Dr. Shk. Sotiraq Lako, më 05 September 2018 në 14:24

Doctor, I don't believe there will be any side effects since local anesthesia will be used and the numbness is achieved with lidocaine

Sent by Kristian, më 05 September 2018 në 15:27

Hello Kristian, you have a mild form of the deficiency which generally is not accompanied by destruction of erythrocytes, at least when the preparations are used in their usual doses. Lidocaine is not included in the lists of preparations with absolute contraindication or cautious use for cases of G6PDH deficiency. Cases described in the literature have used lidocaine even in more severe forms of the deficiency. In some cases, in severe forms, it may induce another problem, which is Methemoglobinemia

Replay from Dr. Shk. Sotiraq Lako, më 06 September 2018 në 03:26

Hello doctor, so the injection does not pose a problem. Thank you

Sent by Kristian, më 06 September 2018 në 05:11

Hello Kristian, you have a mild form of the deficiency, usually, standard doses of medications do not cause hemolysis. To be safer, lidocaine can be used, with a smaller dose than usual, and moreover, Lidocaine is not included among the preparations at risk for the outbreak of hemolytic crisis in G6PDH deficiency

Replay from Dr. Shk. Sotiraq Lako, më 07 September 2018 në 06:41

Hello doctor! I am Dhimitri, 47 years old. I need your advice regarding this problem: - I have problems with my liver (advanced fibrosis), enlarged spleen, an infected gallbladder with gallstones, my white blood cell count is low and I have been bothered by a low body temperature for about 1 month. From 34.5-35.5°C. I would like to know your opinion, what causes it and how this problem can be fixed. I use Ursobil 2×1, Vitamin E 1×1, and Hepaticus Drops 2×1ml dissolved in water. I sincerely thank you for the time you dedicate to us. Regards!

Sent by Dhimitri , më 06 September 2018 në 09:48

Hello Dhimitri, is liver disease caused by viruses, alcohol, autoimmune, biliary, unknown reasons? The cause(s) have their impact on blood cells as well. The spleen is an important organ for blood cells, its enlargement and even more so the increase in its phagocytic function for cells, can be accompanied by a decrease in blood cells. When the decrease is significant, we use small doses of cortisone, which inhibits the phagocytic activity. I am not well acquainted with liver problems, you will need to discuss them with a hepatologist, but I am reading that in some cases, advanced liver disease can be accompanied by a decrease in temperature

Replay from Dr. Shk. Sotiraq Lako, më 06 September 2018 në 12:31

Hello doctor! I am Dhimitri, 47 years old. I need your advice regarding this problem: - I have issues with my liver (advanced fibrosis), an enlarged spleen, an infected gallbladder with stones, my white blood cell count is low and I have been bothered by a low body temperature for about a month now. From 34.5-35.5°C. I would like to know your opinion, what causes this and how can this problem be fixed. I use Ursobil 2×1, Vitamin E 1×1, and Hepaticus Drops 2×1ml dissolved in water. I sincerely thank you for the time you devote to us. Regards!

Sent by Dhimitri , më 06 September 2018 në 09:56

Hello Dimitri, is liver disease caused by viruses, alcohol, autoimmune, biliary, unknown reasons? The cause(s) have their impact on blood cells as well. The spleen is an important organ for blood cells, its enlargement and even more so, the increase in its phagocytic function for cells, can be accompanied by a decrease in blood cells. When the reduction is significant, we use small doses of cortisone, which inhibits the phagocytic activity. I am not very familiar with liver problems, you will need to discuss this with a hepatologist, but I am reading that in some cases, advanced liver disease can be accompanied by a decrease in temperature

Replay from Dr. Shk. Sotiraq Lako, më 06 September 2018 në 12:31

Hello doctor! I am Dhimitri, 47 years old. I need your advice regarding this problem: - I have problems with my liver (advanced fibrosis), enlarged spleen, infected gallbladder and with stones, my white blood cells are low and I have been bothered by low body temperature for about 1 month. From 34.5-35.5°C. I would like to know your opinion, what causes it and how this problem can be fixed. I use Ursobil 2×1, Vitamin E 1×1, and Hepaticus Drops 2×1ml dissolved in water. I sincerely thank you for the time you dedicate to us. Regards!

Sent by Dhimitri , më 06 September 2018 në 10:16

Hello Dhimitri, is liver disease caused by viruses, alcohol, autoimmune, biliary, unknown reasons? The cause(s) have their impact on the blood cells as well. The spleen is an important organ for blood cells, its enlargement and even more so, the increase of its phagocytic function for cells, can be accompanied by a decrease in blood cells. When the decrease is significant, we use small doses of cortisone, which inhibits the phagocytic activity. I am not well acquainted with liver problems, you will need to discuss this with a hepatologist, but I am reading that in some cases advanced liver disease may be accompanied by a decrease in temperature

Replay from Dr. Shk. Sotiraq Lako, më 06 September 2018 në 12:32

Hello doctor, is there a test to see that the erythrocytes are not destroyed and are normal because when I did the erythrocyte analysis it was 5.5? Thank you

Sent by KristianK, më 08 September 2018 në 12:53

Hello Kristian, the value of 5.5 million/mm3 is the normal maximum value for adult males. The value of hemoglobin is also needed to make a better judgment. Every second, 2 million erythrocytes are eliminated and just as many are produced to maintain the above value constant. Of course, there are tests to evaluate the faster destruction of erythrocytes, the strength of their membrane, applied if necessary

Replay from Dr. Shk. Sotiraq Lako, më 09 September 2018 në 10:58

Hello doctor, my hemoglobin came out to be 16, what other analysis should I show you, since I also did the hemoglobin electrophoresis, thank you

Sent by KristianK, më 09 September 2018 në 11:04

Hello Kristian, both values are within the normal range for males > 15 years old

Replay from Dr. Shk. Sotiraq Lako, më 10 September 2018 në 09:35

Hello doctor, I am 23 years old and my hemoglobin electrophoresis came out as 98.4% and Hb/A 1.56%. How are these values assessed? Thank you

Sent by KristianK, më 10 September 2018 në 09:50

Hello Kristian, these values are normal, but they are not sufficient. A complete blood count + ferritinemia is needed

Replay from Dr. Shk. Sotiraq Lako, më 11 September 2018 në 05:56

Dr. Sotirq, greetings! It's Dhimitri again; I've written to you about my issue with the liver, gallbladder, and low body temperature. I've done some additional tests, and the results are: platelets (PLT) 83, ALT (SGPT) 81.5, AST (SGOT) 48. (P.S. the platelets are observed in groups.) If necessary, can I take medication, or will it further damage the liver?! I sincerely thank you for being there when we need a specialist the most. Thank you and regards!

Sent by Dhimitri , më 10 September 2018 në 15:22

Hello Dhimitri, 83,000 mm3 platelets is a good value. The fact that they are in groups indicates that there are even more. There is no need for a treatment

Replay from Dr. Shk. Sotiraq Lako, më 11 September 2018 në 05:57

Hello doctor, I have done the complete blood work and LDH 157 from 135/225, I only need ferritinemia. How much does this analysis cost and does it take time? Thank you!

Sent by Kristian, më 11 September 2018 në 07:18

In a complete blood analysis, the number of erythrocytes (RBC) and Hemoglobin are evaluated. Ferritinemia costs 12-18,000 old lek

Replay from Dr. Shk. Sotiraq Lako, më 11 September 2018 në 11:14

Yes, indeed, I have done these, only ferritinemia remains

Sent by Kristian, më 11 September 2018 në 11:25

Good

Replay from Dr. Shk. Sotiraq Lako, më 12 September 2018 në 02:37

Hello doctor,
I am 19 years old and I hadn't had blood tests for years. Now, in the results of the tests I have: Plt- 482 10^9/L, MPV- 5.8 fl, PDW-8.9%, P-LCR-8.2%, HGB- 15.4 g/dL. Are these parameters concerning? And if yes, why?
Thank you

Sent by Beni, më 18 September 2018 në 11:49

Hello Beni, in these data that you have sent, there is a slight increase in platelets. It does not cause concerns in humans. You will repeat the blood analysis in a few days, + CRP, Ferritinemia

Replay from Dr. Shk. Sotiraq Lako, më 19 September 2018 në 11:11

Hello doctor, I have done the general tests after a state of faintness and I would like a comment from you as a specialist. The tests are WBC 5.90, NEUT# 4.05, LYMPH # 1.48, MONO # 0.30, EO # 0.0, BASO # 0.1, NEUT % 69, LYMPH % 25.1, MONO % 5.1, EO % 0.3, BASO % 0.8, RBC 5.31, HGB 10.7, HCT 32.7, MCV 61.6, MCH 20.2, MCHC 32.7, RDW-SD 33.3, RDW-CV 15.2, PLT 233, PCT 0.26, MPV 11.0, P-LCR 32.8, PDW 13.1. This state of faintness has recurred several times, 5-6 times over the last 10-12 years. I have done other physiological tests and they have been normal. Could this condition be caused by anemia? Currently, I am taking Ironorm 1 pill a day. I await a response from you. Thank you

Sent by Lira, më 26 September 2018 në 00:59

Hello Lira, you have a mild, old anemia that does not cause fainting. You will do Ferritinemia and hemoglobin electrophoresis. In case of iron deficiency (Ferritinemia < 20 ng/ml), the fainting can be justified by this problem. You will take Ironorm 3 x 1 capsules/day for at least 3 months in a row. After 1 month of treatment, you will do a complete blood test and after 3 months of treatment, a complete blood test + ferritinemia. If ferritinemia is normal (60-75 ng/ml), you have congenital anemia and the condition of fainting is not justified. You will consult with a cardiologist and a neurologist

Replay from Dr. Shk. Sotiraq Lako, më 26 September 2018 në 08:16

Hello doctor! I am a 65-year-old woman and for some time now I have been very weak and occasionally have a fever, chills, and vomiting. I have no appetite at all. I did the tests and they told me I am anemic and have a slight urinary infection. The values are these: WBC 11; LYM% 14.1; GRA 80.7; HGB 9.2; MCH 27; MCHC 32; RBC 3.39; HCT 28; PLT 478; PCT 0.41; GLUCOSE FASTING 116; TOTAL BILIRUBIN 0.6; CREATININE 0.8; SGPT-AST 15; SGPT-ALT 19; GLYCATED HEMOGLOBIN 5.2; CALCIUM 9. PLEASE, I would like some advice from you on what steps I should take. Thank you

Sent by Leda, më 01 October 2018 në 09:49

Hello Leda, your mother has mild anemia, a slight increase in leukocytes and platelets. These changes may also be due to inflammation. I don't know if you have consulted with an infectious disease specialist or another specialist doctor? What are the CRP, Erythrocyte Sedimentation Rate values?

Replay from Dr. Shk. Sotiraq Lako, më 02 October 2018 në 03:14

The erythrocyte sedimentation rate is 37

Sent by Leda, më 02 October 2018 në 03:47

For the fever, vomiting has been consulted with a doctor. It is difficult to discuss such problems on a computer. The hematological changes themselves are mild. It is better to consult an infectious disease specialist, hematologist, gastroenterologist

Replay from Dr. Shk. Sotiraq Lako, më 02 October 2018 në 11:44

Hello doctor, I'm Kevin from Korça, I don't know if you remember me, I'm the guy with G6PD deficiency, hemolytic anemia. Yesterday, I had irregular breathing, it felt like my heart was going to stop because it was beating very slowly. What should I use, any medication? Thank you very much, doctor!!!

Sent by Kevin, më 02 October 2018 në 09:49

Hello Kevin, if you have such concerns, you will consult with specialist doctors in Korçë. It has no relation to the mild G6PDH deficiency that you have. As for the treatment, it depends on what the specialist decides, and you have the table of medications that are or are not used in G6PDH Deficiency (which, as you know, is mild and is not affected by most of the medications used in normal doses) and you evaluate it

Replay from Dr. Shk. Sotiraq Lako, më 02 October 2018 në 11:47

Hello doctor, so it doesn't relate to the G6PD deficiency because I am currently taking vitamin B6 and folic acid, or it could be a state of anxiety if it's not related to this as you are also saying. Anyway, tomorrow I will go for a visit to the hematologist Gerla Koleci because I also took the vitamins today, okay. I would like to ask something else, should the G6PD analysis be repeated every 1 to 3 months or is it not necessary? Thank you for your understanding. I wish you good health!

Sent by Kevin, më 03 October 2018 në 09:02

Kevin, I have explained to you several times. You have an almost normal G6PDH value which does not cause you problems in everyday life. Live your life

Replay from Dr. Shk. Sotiraq Lako, më 03 October 2018 në 13:08

Hello doctor, I made a visit to Gerla in Korçë and was told to do a complete blood work with formula and bilirubin. When I get the results, I will send them to you for a look

Sent by Kevin, më 08 October 2018 në 05:37

Good

Replay from Dr. Shk. Sotiraq Lako, më 08 October 2018 në 09:17

Wbc 6.2 rbc 5.3 hgb 15.9 hct 44.3 plt platelets 255 neut 4.27 lymph 1.39 mono 0.47 eo 0.06 baso 0.02 neut% 68.7% lymph% 22.4% mono% 7.6% eo% 1% baso% 0.3% erythrocyte sedimentation rate 8mm/h and total bilirubin 1.5 sgpt-alt 24.4 and sgot-ast 23.1 an increase in bilirubin is noted compared to the analyses I showed you and those we did in Tirana, thank you very much doctor!

Sent by Kevin, më 09 October 2018 në 06:17

Hello Kevin, you have a slight increase in bilirubin. The slight deficiency of G6PDH does not cause this problem. Probably, you might have Gilbert's Syndrome, a congenital disease, very widespread in Albania. There is no need for medication and to be worried

Replay from Dr. Shk. Sotiraq Lako, më 10 October 2018 në 06:07

Yes, if the morphology of the red blood cells is normal, it means there is nothing to worry about, thank you. But is this observed as newborn jaundice or is it unrelated? Thank you very much, doctor!

Sent by Kevin, më 10 October 2018 në 12:02

Kevin, live your life. Slight changes in blood tests happen to many people. They do not cause you any worry for the moment and for the future

Replay from Dr. Shk. Sotiraq Lako, më 11 October 2018 në 05:11

Hello doctor, I wanted to say that I had an ECG done for my heart because sometimes it beats strongly. The ECG turned out fine. The cardiologist told me that it's due to the dependency on the hemolytic anemia you've experienced because it causes a strong pulse. He also mentioned and a systolic murmur, cardiomegaly, tachycardia, strong and striking beats. He told me not to worry about it because it won't cause any concern. Thank you for everything, doctor!

Sent by Kevin, më 11 October 2018 në 16:16

Kevin, you have a slight deficiency of G6PDH and under normal conditions, it doesn't cause any change in the direction of the number of erythrocytes. So currently, you don't have anemia or hemolytic anemia. As you saw from the Echocardiogram, you have nothing wrong. Start living

Replay from Dr. Shk. Sotiraq Lako, më 12 October 2018 në 08:21

Hello doctor! I did the anemia tests and my Hemoglobin came out 10. HCT 31.6

Sent by Irma, më 14 October 2018 në 11:17

Hello Irma, these values show that you have mild anemia. But to evaluate, other blood test values are needed, and if you have done a ferritin level test, iron deficiency is the main cause of anemia in women

Replay from Dr. Shk. Sotiraq Lako, më 15 October 2018 në 05:07

Doctor, hello! I repeated a test after 3 months and received these results:
Leukocytes (WBC) 8200
Erythrocytes (RBC) 4600000
Platelets 418000
Hemoglobin (Hb) 13.1
Erythrocyte Sedimentation Rate 20
Neutrophils (Segmented) 71%
Lymphocytes 26%
Monocytes. 3%
MCV. 80.0
MCH. 27.9
MCHC. 34.9
Ferritin. 4.33
Serum Iron. 48
These were the tests I did now. As for those from 3 months ago, I have brought them to you. I have not used any medications in these 3 months.
Age: 16 years old

Sent by Denisa Alla, më 26 October 2018 në 07:09

Hello Denisa, currently you only have an iron deficiency. For 2 months you will take: Heferol 350 mg 2 x 1 capsule/day, Vitamin C 100 mg 2 x 1 tablet/day. After 2 months, check ferritin levels. The optimal value for women is 60-70 ng/ml

Replay from Dr. Shk. Sotiraq Lako, më 26 October 2018 në 07:53

Hello doctor, I am interested in professional advice. I have done Hemoglobin Electrophoresis HbA1 97.5 and HbA2 2.5, while Ferritin 5.525. What should I do?

Sent by nila, më 29 October 2018 në 15:40

Hello Nila, the Hemoglobin Electrophoresis is normal. The low Ferritin indicates that you have an iron deficiency and you need treatment to correct it (for females > 15 years old, it should be > 20 ng/ml and the optimal value is 60-70 ng/ml). You should also provide the values of Erythrocytes and Hemoglobin

Replay from Dr. Shk. Sotiraq Lako, më 30 October 2018 në 04:16

Hello doctor, I am interested in seeking help regarding a problem my husband has.
Initially, he experienced knee pain, ankle pain, and when he would cut himself, black spots and bleeding from the gums would appear. We did tests and his platelet count came out low. We went to a hematologist and were recommended to do hepatitis and HIV tests at the American hospital. All came out negative.
He also did a spinal tap analysis and was diagnosed with arthritis. The doctor prescribed Deltacorten. Initially, his platelet count increased to 180,000, after 2 weeks we did a check-up and it had dropped to 168,000, after 1 month it was 120,000 and now the value is 45,000. At the moment, he is taking 2 and a half pills. Please, I need your consultation. Thank you!

Sent by Irena, më 31 October 2018 në 01:09

Hello Irena, the discussion is between Autoimmune Thrombocytopenic Purpura (ATP) and Myelodysplasia - MDS (it depends on the Myelogram response). Both can be associated with Rheumatoid Arthritis. The treatment in the case of ATP involves drugs that inhibit immune processes (such as Deltacortene). The goal is to achieve disease control and to maintain it as long as possible, which has not happened in your case. In the case of MDS, it is more difficult. These are problems that need to be monitored by a hematologist

Replay from Dr. Shk. Sotiraq Lako, më 31 October 2018 në 07:22

Hello doctor, how are you? I wanted to ask, I am very cold but it doesn't matter which medicines I will use depending on G6PD because I showed them the list of medicines that you gave me and they told me to use Streptomycin but I couldn't find it, what else can I use? Thank you

Sent by Kevin, më 04 November 2018 në 10:28

Hello Kevin, you have a mild deficit that is not accompanied by problems. The antibiotics we use carefully are Bactrim, Ciprofloxacin

Replay from Dr. Shk. Sotiraq Lako, më 05 November 2018 në 05:14

Hello doctor.
I hope you are well, as it is necessary to have professional doctors :).
I have a 4 and a half-year-old son. I have done a complete blood test and the values below the normal range (according to the answer references) are:
RBC 4.11
HGB 11.6
HCT 32.6
RDW-SD 33.4

Ferritin 14.2 ng / ml
While SIDEREMIA is fine (according to the answer references) 110 g/ dl.

Based on these values, what treatment should be started? Is there anything serious to worry about?

Thank you. All the best. Suela

Sent by Suela , më 05 November 2018 në 10:33

Hello Suela, for the age that the child is, the analysis is considered normal. There is no need for anything

Replay from Dr. Shk. Sotiraq Lako, më 06 November 2018 në 04:12

Hello doctor, this doctor gave me 10 ciprionol pills and a cough syrup to use or not because here in this instruction sheet inside it says that people with G6PD deficiency need to be very careful. Thank you

Sent by Kevin, më 05 November 2018 në 11:17

Hello Kevin, can you talk to the doctor to replace ciprinol with another drug? I wrote to you that ciprinol, baktrim, and negram are drugs that can induce hemolysis in G6PDH deficiency. But you have a very mild form and from them, in standard doses, we do not expect any concern

Replay from Dr. Shk. Sotiraq Lako, më 06 November 2018 në 04:14

I have undergone heart surgery and replaced my mitral valve with a mechanical valve. I use sintrom as an anticoagulant since I need to keep my INR within the range of 2.5 to 3.5. So far, with the advice of doctors, I have used various amounts of sintrom, as my INR sometimes goes up and sometimes goes down, and depending on the situation, I adjust the amount of sintrom. I have not yet found a specific dose that maintains my INR within the desired limits. Can you give me any advice? If necessary, I can also come to see you for a visit. Thank you, I am waiting for your response

Sent by Jolanda hoxha, më 06 November 2018 në 12:01

Hello Jolanda, as a rule in Albania, the monitoring for the use of anticoagulants is done by the doctors of the affected organ/system. Because this field is very broad and even hematology itself is vast, few hematologists deal with this issue. It is possible to switch from Sintrom to Warfarin (Coumadin). You will need to discuss this with the doctor who is treating you

Replay from Dr. Shk. Sotiraq Lako, më 07 November 2018 në 06:41

Hello, I am 29 years old and the values of my blood tests are as follows:
WBC - 4.2/ RBC - 5.75 (previous value was 6)/ Hemoglobin (HGB) 11.0/ Hematocrit (HCT) 33.2/ MCV 57.7/ MCH 19.1/ MCHC 33.1/ RDW-CV 16.8/ PLT and ESR are normal. Ferritin 38 - 44 depending on the period. I occasionally use ironorm and folic acid.
For several years I have had shoulder pain near the spinal column, severe fatigue during the day even though I am not active (I do not smoke), constant temperature of 37-37.5 that does not change and fever, skin pallor, balance difficulties, and for 1 year now, excessive sweating at night (I am also treated for hypothyroidism).
Could the above signs be indicative of leukemia and what further tests should I carry out? Thank you

Sent by Ana, më 13 November 2018 në 10:34

Hello Ana, you have Thalassemia Minor. You will undergo Hemoglobin Electrophoresis. Thalassemia Minor is not related to your concerns, except for the increased sweating

Replay from Dr. Shk. Sotiraq Lako, më 14 November 2018 në 13:05

Hello doctor, my name is Irini and I have a problem with the number of platelets in my tests; they came out very low: 0.044. What do you advise me to do to increase them?

Sent by Irini Marku, më 14 November 2018 në 05:32

Hello Irini, this value you are presenting is not of the platelets. Can you check it again: Plt

Replay from Dr. Shk. Sotiraq Lako, më 14 November 2018 në 13:06

The analysis says the result of the PCR is 0.044% (sorry if I expressed myself incorrectly). My problem is that I've got an infection in my cheek, and the dentist won't take care of me without increasing this value, meanwhile, I am also anemic

Sent by Irini Marku , më 14 November 2018 në 14:45

Hello Irini, this is the value of the hematocrit of platelets (thrombocrit), it has no connection with the treatment of toothache and there is no treatment for it. What matters is the value of the platelets (e.g., 150,000 mm3 etc). Normal values are 144,000 - 444,000 mm3. If they are normal, there is no obstacle to treating the problem with the toothache

Replay from Dr. Shk. Sotiraq Lako, më 16 November 2018 në 04:03

Thank you, doctor. The electrophoresis has confirmed the diagnosis of thalassemia minor. Should I continue with folic acid? What other tests do you recommend for the other symptoms? Ana

Sent by Ana, më 15 November 2018 në 03:03

Hello Ana, can you do: TSH, Vitamin D, Blood electrolytes, current ferritinemia

Replay from Dr. Shk. Sotiraq Lako, më 16 November 2018 në 04:05

Hello doctor! I was interested to know from you if a 67-year-old person with Myelodysplasia (low white blood cells) can undergo tooth extraction? Thank you!

Sent by Leda, më 16 November 2018 në 02:06

Hello Leda, just the low number of leukocytes is not an obstacle for the removal of wisdom teeth. It is enough to be accompanied by prophylaxis with antibiotics. Other values are also important: RBC, Hb, platelets. If possible, do: PT, APTT, Fibrinogen

Replay from Dr. Shk. Sotiraq Lako, më 16 November 2018 në 04:07

Hello doctor, how are you? I need to remove a wisdom tooth, I don't believe it could cause me any issues due to G6PD deficiency... as I definitely need to remove it because it's causing me problems. And could I use any medication that is allowed for me, of course... Thank you!

Sent by Kevin, më 28 November 2018 në 18:47

Continue your normal life, Kevin

Replay from Dr. Shk. Sotiraq Lako, më 29 November 2018 në 02:37

Hello doctor, I wanted to ask you if it is true that cortisone affects the increase in the number of platelets? When they are 22

Sent by Sara , më 30 November 2018 në 19:04

Hello, cortisone is used to increase platelets by mobilizing reserve platelets (mainly in the spleen) and in the case of immune diseases, by reducing the production of anti-platelet antibodies and inhibiting the phagocytic activity of macrophages in the spleen. In most cases, it is successful

Replay from Dr. Shk. Sotiraq Lako, më 01 December 2018 në 09:51

Hello doctor, my mother has had a white blood cell count of 28.05. What can I do to lower the white blood cells because they have come out very high?

Sent by Denisa, më 01 December 2018 në 11:27

Hello Denisa, the white blood cells are elevated. To evaluate them, a complete blood analysis is needed (erythrocytes, hemoglobin, platelets, white blood cell count, erythrocyte sedimentation rate), CRP. If it's due to inflammation/infection, the cause will be treated

Replay from Dr. Shk. Sotiraq Lako, më 02 December 2018 në 06:33

Hello doctor, I wanted to ask how is the platelet transfusion performed and is it dangerous?

Sent by Evi, më 11 December 2018 në 11:01

Hello Evi, it is the same as that of erythrocytes and plasma, but since platelets are stored for up to 5 days at room temperature, there is no need to warm them. The risks that every blood product transfusion has

Replay from Dr. Shk. Sotiraq Lako, më 12 December 2018 në 06:34

Hello doctor, if you can help me with a comment on a complete blood analysis, all parameters are within the norms but bilirubin is at a value of 2.4mg/dL. A.S.T 25IU and A.L.T 28 IU. Unbearable pain in the left arm and swollen kidney, also there is vomiting. Thank you

Sent by Elona, më 13 December 2018 në 04:25

Hello Elona, bilirubin increases when more red blood cells are destroyed, when the liver does not perform its conversion function of bilirubin (from indirect to direct) well, or due to an obstruction in the bile flow into the intestines. Their combination. Usually, it has nothing to do with the enlargement of the kidneys. There might be two separate problems. Let's not forget that about 40% of the population has Gilbert's Syndrome (an inherited increase in Total Bilirubin and Indirect Bilirubin)

Replay from Dr. Shk. Sotiraq Lako, më 13 December 2018 në 07:10

Hello doctor, how are you, how are you doing, I am Kevin from Korça, if you remember me, it is necessary that in a few months I do the G6PD blood test...because I haven't done it since that time when I did it at the American hospital...thank you, have a good day!!!

Sent by Kevin, më 18 December 2018 në 09:50

Kevin, now remember this very well. There's no need to do the analysis anymore. It's done once in a lifetime. Continue with your normal life

Replay from Dr. Shk. Sotiraq Lako, më 20 December 2018 në 06:04

Hello doctor, my grandfather suffers from thrombosis, I wanted to ask which medicines are the best for his condition. He cannot come to Tirana because he is in Fier and cannot walk for a visit to your hospital

Sent by Amanda, më 19 December 2018 në 13:51

Hello Amanda, various preparations are used for the treatment and prevention of thrombosis. Antiplatelet agents (Aspirin/Plavix) and anticoagulants (Heparin, Enoxaparin, Xarelto, etc.). Treatment of thrombosis is conducted by the doctor of the affected organ (e.g., thrombosis in the brain is followed by a neurologist, etc.). A hematologist studies the causes of thrombosis (congenital and acquired)

Replay from Dr. Shk. Sotiraq Lako, më 20 December 2018 në 06:09

Hello Doctor, After analyzing vitamin D, the value is 14. What supplement can I use and for how long? (the supplement does not affect thyroid treatment with euthyrox?) Thank you, Ana

Sent by Ana, më 22 December 2018 në 11:02

Hello Ana, your Vitamin D level is low. But I am not a specialist for this issue. Usually, it is followed up by an endocrinologist, so when you discuss the treatment of Thyroid Gland disease, also discuss the Vitamin D Deficiency. Either 1 depot ampoule of Vitamin D that lasts for 2-3 months is used, or a daily dose medication, usually for 3 months. The specialist is the endocrinologist

Replay from Dr. Shk. Sotiraq Lako, më 23 December 2018 në 03:07

Hello Doctor,
I have a headache near the temples, I get sudden pain that lasts about 4-5 seconds. It happens many times during the day, sometimes I also have pain in my eyes, eyebrows, nose. I have done the tests and my results are:
Azotemia 30
Sideremia 124
LDH 332
CRP 0.7

Sent by Sindi, më 27 December 2018 në 05:48

Hello Sindi, you will first speak with the neurologist. The analyses you mention do not aid in assessing the headache

Replay from Dr. Shk. Sotiraq Lako, më 28 December 2018 në 08:38

Hello doctor! I wanted to know if Myelodysplasia is the cause of neck and back pain?

Sent by Leda, më 29 December 2018 në 11:40

Hello, as a rule, MDS is not accompanied by such concerns. Diseases with an increase in the number of hematopoietic cells, such as leukemia, etc., are also accompanied by bone pain. Depending on the severity, MDS can transform into leukemia. For the locations you refer to, an examination with a scanner or MRI is initially performed for whatever reason

Replay from Dr. Shk. Sotiraq Lako, më 30 December 2018 në 10:23

Hello doctor, I am Kevin from Korça, if you remember me, I had a shaking, a breath blockage as if I was suffocating, and I turned all pale. I went to the hospital, took a sedative, and the doctor told me that I should consult with a hematologist... for what? Thank you

Sent by Kevin, më 21 January 2019 në 00:12

Kevin, you only have a mild G6PDH deficiency. There's no need to always consult with a hematologist. Consider yourself a normal person

Replay from Dr. Shk. Sotiraq Lako, më 21 January 2019 në 08:31

Hello doctor, I met Dr. Gerlen yesterday and she told me that there is nothing wrong, just get it out of your mind because you are completely anxious... I did another EKG which turned out very good, I did two liver tests ALT 19 and AST 18 while bilirubin 0.75, they came out very well, thank you doctor

Sent by KevinK, më 22 January 2019 në 04:37

Very good

Replay from Dr. Shk. Sotiraq Lako, më 22 January 2019 në 08:07

Hello doctor, I did a blood test, can you please check it: WBC-6.3, RBC 5.5, HGB-16, HCT 45.9%, platelets 242, and neutrophils 4.4, lymphocytes 1.4, monocytes 0.5, neutrophils% 69.3, lymphocytes% 22.2, monocytes% 8.5%, and erythrocyte sedimentation rate 5mm/h, thank you

Sent by Kevin, më 29 January 2019 në 04:29

You have analyzed it very well

Replay from Dr. Shk. Sotiraq Lako, më 29 January 2019 në 14:19

Hello doctor, it has been about 5 days that I have high blood pressure, 140/80, 130/80. Is it related to G6PD deficiency or not? Because I have had many visits and they tell me that it's not, it's due to nerves, but what can be done about it! Thank you

Sent by Kevin, më 03 February 2019 në 12:40

It has no connection

Replay from Dr. Shk. Sotiraq Lako, më 04 February 2019 në 06:58

Hello doctor! I have written to you several times before about my father's illness. It has been almost 3 years since he was diagnosed with Myelodysplasia. Besides occasionally getting sores in his mouth, he has no other concerns. The results of his latest complete blood test are; Leukocytes 2.09, Lymphocytes 44.6%, Monocytes/Eosinophils/Basophils 0.39, Hemoglobin 11.5, Erythrocytes 3.65, Hematocrit 36, Erythrocyte sedimentation rate 3-15 mm/h. I am waiting to hear something about these results. Thank you and regards. Today he started taking folic acid and B6

Sent by Leda, më 25 February 2019 në 09:36

Hello Leda, your father has good values for the illness he has. What are the platelet counts? Continue with the vitamins

Replay from Dr. Shk. Sotiraq Lako, më 26 February 2019 në 07:54

I'm sorry, I forgot that the Thrombocytes are 175

Sent by Leda, më 25 February 2019 në 09:39

Hello Leda, your father has good values for the illness he has. Platelets 175,000 mm3, are a very good value. Continue the vitamins

Replay from Dr. Shk. Sotiraq Lako, më 26 February 2019 në 07:56

Hello Dr. I am 17 years old and I am a carrier of minor thalassemia. I did the tests and got these results: MBC 5.6, LYM 2.2, MON 0.3, GRA 3.1, LYM% 38.9, GRA% 55.6, MON 5.5, RBC 5.61, HGB 9.7, HCT 36.9, MCV 65.8, MCH 17.5, MCHC 26.9, RDW 14.9, PLT 316, MPV 8.7, PCT 0.275, PDW 16.4, Segments 53%, Eosinophils 5%, Lymphocytes 39%, Monocytes 3%, Acid 4.2, Ferritin 19.11... What treatment should I take. Thank you

Sent by Esma, më 07 March 2019 në 15:20

Hello Esma, Thalassemia Minor is a mild inherited disease. Everything inherited cannot be treated. You will undergo Ferritinemia, which determines the iron reserves in the body. If the iron reserves are normal (for females > 20 ng/ml and optimal values 60-70 ng/ml), you will only receive a supplementary treatment with: Folic Acid 5 mg 3 x 1 tablets/day + Vitamin B6 25 mg 3 x 1 tablets/day, for 1 consecutive month. But we do not treat congenital anemia. You will also have an Abdominal Echo to check the size of the spleen, the possible presence of stones in the bladder and kidneys. If Ferritinemia is < 20 ng/ml, you also have iron deficiency and/or Iron Deficiency Anemia and will be treated for it

Replay from Dr. Shk. Sotiraq Lako, më 09 March 2019 në 10:08

Hello Dr. I am 17 years old and I am a carrier of minor thalassemia. I had tests done and received these results: MCV 5.6, LYM 2.2, MON 0.3, GRA 3.1, LYM% 38.9, GRA% 55.6, MON% 5.5, RBC 5.61, HGB 9.7, HCT 36.9, MCV 65.8, MCH 17.5, MCHC 26.9, RDW 14.9, PLT 316, MPV 8.7, PCT 0.275, PDW 16.4, Segments 53%, Eosinophils 5%, Lymphocytes 39%, Monocytes 3%, Acid 4.2, Ferritin 19.11... What treatment should I take. Thank you

Sent by Esma, më 07 March 2019 në 15:22

Hello Esma, Thalassemia Minor is a mild inherited disease. Everything inherited cannot be treated. You will undergo Ferritinemia, which determines the iron reserves in the body. If the iron reserves are normal (for females > 20 ng/ml and the optimal value 60-70 ng/ml), you will only receive supplementary medication with: Folic Acid 5 mg 3 x 1 tablets/day + Vitamin B6 25 mg 3 x 1 tablets/day, for 1 month consecutively. But we do not treat congenital anemia. You will also have an Abdominal Ultrasound, to see the size of the spleen, the possible presence of stones in the gallbladder and in the kidneys. If the Ferritinemia is < 20 ng/ml, you also have iron deficiency and/or Anemia due to iron deficiency and will be treated for it

Replay from Dr. Shk. Sotiraq Lako, më 09 March 2019 në 10:08

Hello doctor. I have a 2.5-year-old boy. I did some tests and his ferritin came out to be 4.83 while his HGB was 132, WBC 9.82, HCT 37.1, RBC 4.63, bleeding time 2-38, coagulation time 4-46. Everything was within the normal range except for lymphocytes 53.8%, neutrophils 32.9% which were different from the norm. Please doctor, what kind of iron should I get as a good brand and what dosage? Thank you very much for your answer

Sent by jona, më 09 March 2019 në 10:42

Hello Jona, the boy only has an iron deficiency, without having developed Iron Deficiency Anemia. The main causes of iron deficiency are repeated blood losses and the child's age (they grow quickly and need iron). The best form of iron remains Ferrous Sulfate, (Fe 2+), and for children, the dose is 3 mg/kg weight. If possible, eliminate any bleeding if present, correct the iron deficiency (treat for at least 2 months), and the problem will be resolved

Replay from Dr. Shk. Sotiraq Lako, më 10 March 2019 në 06:57

Hello doctor. I have a 2.5-year-old boy. I did his tests and his ferritin came out 4.83, while Hgb 132, WBC 9.82, HCT 37.1, RBC 4.63, bleeding time 2-38, coagulation time 4-46, all within normal range except for LYM 53.8%, NEU 32.9% which were different from the norm. Please doctor, what kind of iron should I give him, which brand is good and what dosage? Thank you very much for your response

Sent by jona, më 09 March 2019 në 11:58

Hello Jona, the boy only has an iron deficiency, without having Iron Deficiency Anemia installed. The main causes of iron deficiency are repeated blood losses and the age of the child (they grow quickly and need iron). The best iron remains Ferrous Sulfate, (Fe 2+) and for children, the dose is 3 mg/kg weight. If possible, eliminate any bleeding if present, correct the iron deficiency (at least 2 months of treatment), the problem is healed

Replay from Dr. Shk. Sotiraq Lako, më 10 March 2019 në 06:58

Hello doctor. I have a 2.5-year-old boy. I did the tests and his ferritin came out to be 4.83 while his HGB 132, WBC 9.82, HCT 37.1, RBC 4.63, bleeding time 2-38, coagulation time 4-46, all within normal except for lymphocytes 53.8%, neutrophils 32.9% which were different from the norm. Please doctor, what kind of iron should I give him, as a good brand and what dose. Thank you very much for your answer

Sent by jona, më 09 March 2019 në 12:54

Hello Jona, the boy only has an iron deficiency, without having developed Iron Deficiency Anemia. The main causes of iron deficiency are repeated blood loss and the child's age (they grow quickly and need iron). The best form of iron remains Ferrous Sulfate, (Fe 2+) and for children, the dosage is 3 mg/kg of weight. If possible, eliminate any bleeding if present, correct the iron deficiency (for at least 2 months of treatment), and the problem will be resolved

Replay from Dr. Shk. Sotiraq Lako, më 10 March 2019 në 06:58

Hello doctor. I have a 2.5-year-old boy. I did his tests and his ferritin came out to 4.83, while the HGB is 132, WBC 9.82, HCT 37.1, RBC 4.63, bleeding time 2-38, clotting time 4-46, all within normal range except for lymphocytes 53.8%, neutrophils 32.9% which were different from the norm. Please, doctor, what kind of iron should I give him as a good brand and what dosage? Thank you very much for the answer

Sent by jona, më 09 March 2019 në 12:58

Hello Jona, the boy only has an iron deficiency, without having developed Iron Deficiency Anemia. The main causes of iron deficiency are repeated blood losses and the child's age (they grow quickly and need iron). The best form of iron remains Ferrous Sulfate, (Fe 2+), and for children, the dose is 3 mg/kg weight. If possible, eliminate any bleeding if present, correct the iron deficiency (treat for at least 2 months), and the problem will be healed

Replay from Dr. Shk. Sotiraq Lako, më 10 March 2019 në 06:58

Hello doctor! I am 27 years old. I have done my blood tests and the results are as follows: WBC 9.72, Neut 69.3, Lymph 24.5, Mono 4.7, Eo 0.8, Baso 0.7, RBC 4.56, HGB 10.5, HCT 33.4, MCV 73.2, MCH 23.0, MCHC 31.4, RDW-CV 43.0, RDW-SD 16.4, PLT 320, PDW 11.5, MPV, P-LCR 27.0, PCT 0.33, sediment 8, Ferritin 3.8ng/ml, CRP 0.38 mg/dl, Creatinine 0.8mg/dl, AST-SGOT 17U/L, ALT-SGPT 16U/L, glucose 99, and TSH 1.56. I did these tests today and please, I would like some advice from you. My ferritin is very low, could you tell me the reason and what I should use to normalize the parameters. I want to clarify that my period lasts 7 days and the foods I mostly consume are flours. I do not consume vegetables and fruits much. Thanking you sincerely, I await a response as soon as possible (suggest a good brand for the medications I should take)

Sent by Ela, më 15 March 2019 në 12:25

Hello Ela, you have mild Anemia due to Iron Deficiency. From the name itself, it is understood that the cause of anemia is the lack of iron, while the cause of the lack of iron is almost always repeated blood loss, where in females who have menstruations, 95/96% of the chances are menstruations (blood has a red color from iron, if you lose blood you lose iron). There is no iron deficiency from foods and it cannot be corrected with food. You will take for at least 3 months in a row: Heferol 350 mg 2 x 1 capsule/day + Vitamin C 100 mg 2 x 1 tablet/day + Vitamin B6 25 mg 2 x 1 tablet/day. After 1 month of treatment, you will do a complete blood test and after 3 months of treatment a complete blood test + Ferritinemia. At the end of the treatment, ferritinemia should be close to 60-70 ng/ml

Replay from Dr. Shk. Sotiraq Lako, më 16 March 2019 në 13:43

Hello doctor! I am 27 years old. I have done blood tests and the results are as follows: wbc 9.72 Neut 69.3 Lymph 24.5 Mono 4.7 Eo 0.8 Baso 0.7 RBC 4.56 HGB 10.5 HCT 33.4. MCV 73.2 MCH 23.0 MCHC 31.4 RDW-CV 43.0 RDW-SD 16.4. PLT. 320 PDW 11.5 MPV P-LCR 27.0 PCT 0.33 sediment 8. Ferritin 3.8ng/ml. CRP 0.38 mg/dl. Creatinemia 0.8mg/dl AST-SGOT 17U/L ALT-SGPT 16U/L, glucose 99 And TSH 1.56. I did these tests today and please, I would like some advice from you. My ferritin is very low, can you tell me the cause and what I should use to normalize the parameters. I want to clarify that I have my period for 7 days and the foods I mostly consume are cereals. I don’t consume vegetables and fruits much. Thanking you sincerely, I await a response as soon as possible (can you suggest a good brand for the medicines I should take?)

Sent by Ela, më 15 March 2019 në 15:14

Hello Ela, you have mild anemia from iron deficiency. From the name itself, it is understood that the cause of the anemia is the lack of iron, while the cause of the iron deficiency is almost always repeated blood loss, where in females who have menstruations, 95/96% of the chances are menstruations (blood is red in color from the iron, if you lose blood you lose iron). There is no iron deficiency from food and it cannot be corrected with food. You will take for at least 3 months in a row: Heferol 350 mg 2 x 1 capsule/day + Vitamin C 100 mg 2 x 1 tablet/day + Vitamin B6 25 mg 2 x 1 tablet/day. After 1 month of treatment, you will do a complete blood test and after 3 months of treatment a complete blood test + Ferritinemia. At the end of the treatment, ferritinemia should be close to 60-70 ng/ml

Replay from Dr. Shk. Sotiraq Lako, më 16 March 2019 në 13:43

Hello,
I am a 16-year-old girl and I am worried because I had tests done 3 months ago and they came out fine and they told me that I am slightly anemic. But I continue to have constant fatigue, dizziness, and what's more, skeletal-like structures have formed on my body, and this is what worries me the most. Please help me and tell me what I have?

Sent by Adriana, më 16 March 2019 në 07:34

Hello Adriana, initially there is iron deficiency, without anemia, and then anemia sets in. If you have had mild anemia, it is certain that you also have an iron deficiency (always when we talk about the most common anemia, the one from iron deficiency). Both iron deficiency and anemia cause fatigue, weakness, dizziness. You will undergo a ferritin test and will be treated for anemia and iron deficiency, for at least 3 consecutive months

Replay from Dr. Shk. Sotiraq Lako, më 16 March 2019 në 13:45

Hello doctor. My 69-year-old father has no complaints, but after doing a check-up, he was found to have high white blood cell count, initially 31.2. Then he did another analysis which I am writing to you. Meanwhile, they have also found glands in his neck and shoulder.
Leukocyte formula:
Bands 2%
Segments 6%
Lymphocytes 90%
Monocytes 2%

WBC 26.9 RBC 4.3 HGB 13.3 HCT 40.7% PLT 173 PCT 160%
#LYM 84.1 H % LYM 22.6 H
MON 4.2% MON 1.1 H
GRA 11.7 L % GRA 3.2

I wanted to first ask what risk there is with such analysis results. The doctors have mentioned a myelogram. I will continue to visit you, doctor. I am very worried it might be some incurable disease.
Thank you very much, doctor, for all your professionalism

Sent by Eda Domi, më 17 March 2019 në 13:07

Hello Eda, we discussed the problem

Replay from Dr. Shk. Sotiraq Lako, më 18 March 2019 në 08:41

Thank you very much, doctor! I have been taking Gyno-Tardiferon (ferrous sulfate-folic acid) for two days. Is it a good medicine or should I take the one you recommend? Once again, thank you very much for your dedication

Sent by Ela, më 18 March 2019 në 07:00

I wrote you the prescription and the follow-up 3 days ago, before you started your treatment

Replay from Dr. Shk. Sotiraq Lako, më 18 March 2019 në 09:57

Good evening doctor. I congratulate you on your professionalism and dedication. Please help me regarding my son's health condition. Today we did complete blood and urine tests since my son had a fever for almost three weeks with intervals up to 39.4 degrees. But during this period, he had ear pain and now for two weeks, it has been draining almost every day. These are the results: WBC 12.4, LYM% 32.0, MON%6.2, NEU% 58.2, EOS%2.7, BAS%0.9, LYM 4.0, MON 0.8, NEU 7.2, EOS 0.3, BAS 0.1, RBC 3.67, HGB 9.2, HCT 29.2, MCV 79.6, MCH 25.1, MCHC 31.5, RDW 14.5, PLT 528, MPV 6.8, PCT 0.362, PDW 12.1. Erythrocyte sedimentation rate 90. While the Sideremia test is 38. Urine analysis Leukocytes 10-15, rare crystals. In the afternoon, he was given a serum after the pediatrician's visit. Please reply to me

Sent by Malvina, më 26 March 2019 në 15:45

Hello Malvina, the boy has mild anemia, but it is not an emergency. You will focus on solving the problems related to fever and the ear. Later, you will redo the complete blood count, ferritinemia, and depending on their values, you will start treatment to correct the anemia and possible iron deficiency. You will discuss with the pediatrician about the medication and its dosage

Replay from Dr. Shk. Sotiraq Lako, më 29 March 2019 në 08:33

Hello Doctor, I thank you in advance for your dedication and your valuable time in responding to patients. I have a 5-year-old son who is very pale. Please, what are the detailed tests that need to be done for Anemia until the exact cause of the anemia is found. His hemoglobin was found to be low, between 8-10, and low serum iron according to the pediatrician is due to growth, he has been given iron for 3 months + vitamin C, but his body does not absorb it. Please help me with the right tests to find the true cause of the anemia so that he can receive the correct treatment. I am waiting for a response. Best regards

Sent by Eljona, më 27 March 2019 në 08:37

Hello Eljona, the initial tests we do are: complete blood count + ferritinemia + Hemoglobin Electrophoresis. The latter is done only once in a lifetime

Replay from Dr. Shk. Sotiraq Lako, më 29 March 2019 në 08:39

Hello Dr. Sotiraq,

Thank you very much for your reply last week. I did the tests for my 5-year-old son and the results were as follows: Hemoglobin 10.6 g/dl, Hematocrit 33.6%, MCV 70 µm3, MCH 22.1 pg, MCHC 31.4 g/dl, RDW 15.3%. Other parameters in the complete blood count (formula) were normal. I have written only those that are low. Ferritin 9.1 ng/ml. Whereas Hb electrophoresis, Hb A 98.3%, HB A2 1.7%. Please, could you help me with a medication. What is the best iron for treatment since I have used intrafer+ vit c and there has been no change in the analysis. Thank you very much. I wish you good work and may God grant the best for you and your family

Sent by Eljona, më 02 April 2019 në 04:44

Hello Eljona, your son has Mild Anemia due to Iron Deficiency. He will be treated with iron. I am not a children's specialist. Our doctors often use Ferritin otti 62 mg / 8 ml - vial. For the dosage, you should discuss with the pediatrician, as a rule, it is used 3 mg per kg of weight for 3 months (1 month for the correction of anemia and 2 months for the correction of ferritinemia)

Replay from Dr. Shk. Sotiraq Lako, më 02 April 2019 në 06:46

Hello, Professor Lako,

On December 12, 2018, I underwent a kidney operation for a stone in the pelvis. About a month after the surgery, I had problems as the kidney went into third-grade hydronephrosis due to another small stone that got stuck while the JJ stent was inside. So, from January 20, 2019, until February 2, I used an antibiotic for ciprofloxacin in a vein due to fever, and dexamethasone once a day for 5 days. Then I went to Greece where I removed the stone with a laser, now I have a JJ stent again. For 5 days after the surgery, I used Eufexil 500 mg twice a day. After January 20, I have tachycardia even though the heart and lungs come out ok, so I did a blood test where the kidney parameters were creatinine at 0.8 and urea at 20. The problem is the tachycardia continues less frequently, but the blood tests are as follows HGB 10.4, WBC 7.5, RBC 3.60, HCT 42, PLT 282, MCV 84, MCH 27.5, MCHC 35.5, RDW 12.03, MPV 7.5 15.1, LYM 1.4, Monocytes 0.6, Gran 6. Ferritin 8. I believe I need treatment even though the doctor did not prescribe iron dosage as he needed reticulocytes and a stool occult blood test. For five days, I have also had urination with blood occasionally, but the tests have come out without bacteria, I believe due to the stent or a small 5 mm stone that I have in the unoperated kidney. On April 9, it will be time to remove the stent. Please help me with the analysis and this data to get treated and to find the cause of the anemia. I thank you and am grateful to you as you greatly reassured me last year when I wrote to you about my daughter. Good luck with your work

Sent by Lorenca, më 03 April 2019 në 02:52

Hello Lorenca, regarding blood problems, you have Mild Anemia, which causes fatigue, weakness, but has little to do with heartbeats. The most common anemia in medical practice is Iron Deficiency Anemia. You have an iron deficiency (ferritin < 8 ng/ml) and will be treated with iron supplements in therapeutic doses. I often use 1-Heferol 350 mg 2 x 1 capsule/day. 2-Vitamin C 100 mg 2 x 1 tablet/day. 3-Vitamin B6 25 mg 2 x 1 tablet/day. Take during or after meals, for at least 3 consecutive months.

The patient will be re-examined with a complete blood count after 1 month and after 3 months of treatment complete blood count + ferritin + Hemoglobin Electrophoresis

Replay from Dr. Shk. Sotiraq Lako, më 05 April 2019 në 03:26

Hello there,

My name is Aly and I would like to know if you would be interested in having your website here at mjeket.al promoted as a resource on our blog alychidesign.com?

We are in the midst of updating our do-follow broken link resources to include current and up-to-date resources for our readers.

If you might be interested in being included as a resource on our blog, please let me know.

Thanks,
Aly

Sent by Aly, më 08 April 2019 në 01:37

Hello, Aly, I have seen your blog, and I am interested in being included

Replay from Dr. Shk. Sotiraq Lako, më 09 April 2019 në 11:36

Hello, Dr. Lako. I am 23 years old. A few days ago, I had an abdominal ultrasound, and it showed that I have a 13 mm cyst in the left kidney's lower calyx and two microcalculi in the lower calyx up to 3.7 mm without stasis... The spleen is at the maximum normal limit of 14 cm without dilation of the hilum, and all other organs are very good... As for the kidneys, the doctor told me that I need to drink a lot of fluids, while for the spleen, she suggested doing a complete blood count and hemoglobin electrophoresis... My complete blood count came out very good hb 12.9.. Wbc 5.5... Lym 2.1... mon 0.3.. Rbc 4.19 and everything else within the norm... I also did ferritin and it was normal, and so was the electrophoresis.. I am very worried about why this problem occurs, does the kidney affect it, or is it because I am allergic? What other tests do you suggest, or could this problem be congenital? Thank you very much for the dedication you show. Good luck with your work

Sent by Ana, më 10 April 2019 në 00:40

Hello Ana, you have a spleen slightly above the average normal value. It should be emphasized that the size of the spleen depends on the body size (taller bodies have larger spleens). We do not judge with a single measurement. After 2-3 months, you will repeat it and if we see that it is the same size, or has a tendency to increase, the causes will be assessed, which in fact are numerous (infectious, hereditary, etc.)

Replay from Dr. Shk. Sotiraq Lako, më 10 April 2019 në 02:49

Hello, Dr. Lako. I am 23 years old. A few days ago, I had an abdominal ultrasound, and it showed that I have a cyst in the left kidney in the lower calyx measuring 13 mm and two microcalculi in the lower calyx up to 3.7 mm without stasis... The spleen is at the upper limit of normal, 14 cm, without dilation of the hilum, and all other organs are very well...Regarding the kidneys, the doctor told me that I should drink a lot of fluids, while for the spleen, she suggested that I do a complete blood count and hemoglobin electrophoresis...The complete blood count turned out very good, hb 12.9...Wbc 5.5...Lym 2.1...mon 0.3..Rbc 4.19 and all the rest within norms....I also did the ferritin, and it was normal, and the electrophoresis was also normal..I am very worried about why this problem occurs, does the kidney affect it or the fact that I am allergic? what other tests do you suggest or could this problem be congenital? I thank you very much for your dedication. Good work

Sent by Ana, më 10 April 2019 në 01:26

Hello Ana, you have a slightly above average normal spleen size. It should be emphasized that the size of the spleen depends on body size (taller bodies have larger spleens). We do not judge with a single measurement. After 2-3 months, you will repeat it and if we see that it is the same size, or has a tendency to grow, the causes will be evaluated, which in fact are numerous (infectious, hereditary, etc.)

Replay from Dr. Shk. Sotiraq Lako, më 10 April 2019 në 02:50

Hello, Dr. Lako. I am 23 years old. A few days ago, I had an abdominal ultrasound, and it showed that I have a cyst in the left kidney's lower calyx measuring 13 mm and two microcalculi in the lower calyx up to 3.7 mm without stasis... The spleen is at the upper limit of the norm 14 cm without dilation of the hilum, and all other organs are very good...Regarding the kidneys, the doctor told me that I should drink plenty of fluids, while for the spleen, she suggested doing a complete blood count and hemoglobin electrophoresis...The complete blood count came out very well hb 12.9...Wbc 5.5...Lym 2.1...mon 0.3..Rbc 4.19 and everything else within the norm....I also did ferritin and it was normal, and electrophoresis was also normal..I am very worried about why this problem occurs, does the kidney affect it or the fact that I am allergic? what other tests do you suggest or could this problem be congenital? Thank you very much for your dedication. Good luck

Sent by Ana, më 10 April 2019 në 02:28

Hello Ana, you have a spleen slightly above the average normal value. It should be emphasized that the size of the spleen depends on the body's dimensions (taller bodies have larger spleens). We do not judge with a single measurement. After 2-3 months, you will repeat it and if we see that it is the same size, or has a tendency to increase, the causes will be assessed, which in fact are numerous (infectious, hereditary, etc.)

Replay from Dr. Shk. Sotiraq Lako, më 10 April 2019 në 02:50

Thank you very much for the answer. I forgot to mention that my ESR is 19 mm/hour, while the standard is <15... Is this a sign of an infection or could the presence of microcalcifications cause something like this? Thank you for your time

Sent by Ana, më 10 April 2019 në 10:45

Hello Ana, the normal ESD value is up to 20 mm/h. But this also depends on age. With the increase in age, the ESD will also increase

Replay from Dr. Shk. Sotiraq Lako, më 11 April 2019 në 04:31

Thank you for the response. I wanted to ask another question...Regarding the ESR, it came out as 19mm/hour while it says 15 mm/hour there...is it an indicator of infection? Should I do another analysis or simply wait 2 - 3 months for another echo...What do you suggest because I am very worried...thank you very much for your dedication

Sent by Ana, më 10 April 2019 në 13:46

Hello Ana, the normal value of ESR is up to 20 mm/hr. But this also depends on age. With increasing age, the ESR will also increase

Replay from Dr. Shk. Sotiraq Lako, më 11 April 2019 në 04:31

Hello Ana, the normal value for ESR is up to 20 mm/h. But this also depends on the age. With increasing age, the ESR will also increase

Replay from Dr. Shk. Sotiraq Lako, më 11 April 2019 në 04:31

Thank you for the answer. I wanted to ask another question... Regarding the ESR, it came out to 19mm/hour, whereas it says 15 mm/hour there...is this an indicator of infection? Should I do another test or just wait 2 - 3 months for another echo... What do you suggest because I am very worried... thank you very much for your dedication

Sent by Ana, më 10 April 2019 në 14:09

Hello Ana, the normal ESR value is up to 20 mm/h. But this also depends on age. With age, the ESR will also increase

Replay from Dr. Shk. Sotiraq Lako, më 11 April 2019 në 04:31

Thank you for the answer. I wanted to ask another question... Regarding ESR, mine was 19mm/hour while it says 15 mm/hour there... is it an indicator of infection? Should I do another analysis or just wait 2 - 3 months for another echo... What do you suggest because I am very worried... thank you very much for your dedication

Sent by Ana, më 10 April 2019 në 14:22

Hello Ana, the normal ESR value is up to 20 mm/hr. But this also depends on age. With aging, the ESR will increase as well

Replay from Dr. Shk. Sotiraq Lako, më 11 April 2019 në 04:32

Thank you for the reply. I wanted to ask another question... Regarding the ESR, it came out 19mm/hour while there it says 15 mm/hour... is this an indicator of infection? Should I do another test or just wait 2 - 3 months for another echo... What do you suggest because I am very worried... thank you very much for your dedication

Sent by Ana, më 10 April 2019 në 14:26

Hello Ana, the normal value of ESR is up to 20 mm/h. But this also depends on age. With increasing age, the ESR will also increase

Replay from Dr. Shk. Sotiraq Lako, më 11 April 2019 në 04:32

Hello, Dr. Lako. I am 29 years old. I have received the results of my tests, and the results are: WBC 7.05, NEU% 38.4, LYM% 49.6, MONO% 9.9, BASO% 0.3, EOS% 1.8, NEU# 2.70, LYM# 3.50, MONO# 0.70, BASO# 0.02, EOS# 0.13, RBC 4.98, HCT 41.6, HGB 13.5, MCV 83.5, MCH 27.1, MCHC 32.5, RDW-SD 40.1, RDW-CV 12.9, PLT 248, PDW 13.4, MPV 11.1, P-LCR 33.9, PCT 0.28, ESR 7, Leukocyte Formula (slide) neutrophils 46, lymphocytes 46, monocytes 8, Ferritin (serum) 13.90 ng/ml. If you could provide an explanation from your side. I sincerely thank you

Sent by Greta, më 15 April 2019 në 04:39

Hello Greta, you have only iron deficiency (ferritin < 20 ng/ml). And you will be treated with iron supplements, for at least 2 months in a row with the aim of reaching a ferritin level around 60-70 ng/ml, which is the optimal value for adult females

Replay from Dr. Shk. Sotiraq Lako, më 15 April 2019 në 05:07

Thank you for the answer! Can you recommend me some medicine?
Good luck with your work!

Sent by Greta, më 15 April 2019 në 05:27

1-Hepherol 350 mg 2 x 1 capsule/day – 60 capsules.
2-Vitamin C 100 mg 2 x 1 tablet/day – 60 tablets.

For 2 consecutive months. During or after meals

Replay from Dr. Shk. Sotiraq Lako, më 15 April 2019 në 05:33

Hello Doctor, I am 23 years old and I have received the results of my blood tests, where WBC 4.1, Neutrophils 37.1, Lymphocytes 50.6, Monocytes 9.9, Eosinophils 1.9, Basophils 0.5, RBC 4.62, HGB 96, HCT 31.6, MCV 68, MCH 20.7, MCHC 305, and PLT 148. Meanwhile, my glucose has come out as 6.5. If it's possible, I would like an explanation because I see that 7 of them are above or below the normal value.
Also, I wanted to ask if you do consultations at the American Hospital in Prishtina.
I thank you for your work

Sent by Arba, më 05 May 2019 në 15:06

Hello Arba, you have mild anemia due to iron deficiency, which needs to be treated. Lymphocytes are at the upper limit of normal, but it is not related to the anemia. You can come whenever you want, from Monday to Friday 9:00 AM to 4:30 PM and on Saturday from 9:00 AM to 12:00 PM. American Hospital 1, in Lapraka

Replay from Dr. Shk. Sotiraq Lako, më 06 May 2019 në 03:33

Hello doctor!
I have a 23-year-old daughter and she is suffering from tonsillitis. I did the analysis and it showed streptococcus. Please, I need advice from you on how to fight this microbe. Thank you!

Sent by sofia, më 06 May 2019 në 08:34

Hello Sofia, you will discuss this issue with the ENT doctor

Replay from Dr. Shk. Sotiraq Lako, më 07 May 2019 në 03:37

I want your suggestion because I have asked many ENT doctors and their opinions are completely opposite to each other, and honestly, I am very disappointed, so I turned to you!

Sent by sofia, më 07 May 2019 në 08:17

Hello Sofia, I do not deal with these issues. If you can, you may come to American Hospital 1, to discuss with our ENT doctors

Replay from Dr. Shk. Sotiraq Lako, më 08 May 2019 në 13:55

Hello Doctor
Congratulations on your humanitarian work, it is to be appreciated
I am a 33-year-old girl and had a check-up
In the complete blood count, everything was within the normal range except for Mdx% (mono+eq+bz) which came out to 15.16% from 10 which was Normal. Is there any problem? And what should I use?

Sent by Suela, më 09 May 2019 në 11:37

Hello Suela, it seems that you have gone to the American Hospital, we still have the device that provides this sum of elements, which in fact has no practical significance. Monocytes are in the normal range of 2-10%, Eosinophils 1-4%, and Basophils 0-1%, so very much 10 + 4 + 1 = 15%

Replay from Dr. Shk. Sotiraq Lako, më 09 May 2019 në 12:23

Hello,

Yesterday, I had the blood tests done for my 22-month-old daughter. Six days ago, she finished antibiotics (azithromycin). The blood test results are as follows:
PLT is very high. Is that a problem? Thank you.
WBC 12.53 range (4-10)
RBC 4.7 range (4.2 - 5.8)
HBG 12.5 range (12 - 16.5)
HCT 36.6 range (35 - 50)
MCV 77.9 range (82 - 99.5)
MCH 26.6 range (27 - 32)
MCHC 34.2 range (32 - 36)
PLT 615 range (150 - 400)
RDW-SD 39.1 range (37.0 - 54.0)
RDW-CV 14.4 range (11.0 - 16.0)
PDW 9.8 range (9.4 - 18.0)
MPV 9.6 range (8.2 - 12.4)
P-LCR 20.9 range (14 - 45)
PCT 0.59 range (0.17 - 0.35)
NEUT 4.46 or 35.6% range (40.0 - 60.0)
LYMPH 6.35 or 50.7% range (25.0 - 40.0)
MONO 1.23 or 9.8% range (2.0 - 8.0)
EO 0.46 or 3.7% range (1.0 - 4.0)
BASO 0.03 or 0.2% range (0.0 -1.0)

OH Vitamin D Total 20.3
Glycemia 82 range (76 -110)
Azotemia 27 range (15 -50)
Creatinine 0.84 range (0.6 - 1.2)
Sideremia 58 range (50 -168 women) and range (60 -160 men)
Ferritin 34.2 range (5 -148 women) and range (28 -365 men)
Uric acid 3.01 range (2.5 -7.7)
SGOT 42 range (0 -46)
SGPT 16 range (0 -46)
Lipidogram Triglycerides 82 range (45 -150)
Lipidogram Total Cholesterol 128 range (145 -220)

Sent by Ada, më 21 May 2019 në 10:05

Hello Ada, platelets are elements of inflammation, so acute inflammation, including infection, is one of the causes of their increase. After a few weeks, they are re-evaluated

Replay from Dr. Shk. Sotiraq Lako, më 22 May 2019 në 04:35

Thank you very much, Doctor. So, does it mean I have to redo the complete blood work for the girl? She currently has a cough and a runny nose. But how do the rest of the analyses look to you? Thank you very much

Sent by Ada, më 22 May 2019 në 04:45

Hello Ada, after the inflammatory condition passes, repeat the analysis

Replay from Dr. Shk. Sotiraq Lako, më 23 May 2019 në 03:36

Hello, I am 32 years old and in my blood test, the value of SGPT was 80 and the value of SGOT was 42. I have had hepatitis. Are these values concerning? What do you suggest?

Sent by Fioralba , më 24 May 2019 në 06:30

Hello Fioralba, these are not related to my specialty. You will discuss with the hepatologist, the liver doctor

Replay from Dr. Shk. Sotiraq Lako, më 24 May 2019 në 06:57

Hello Doctor. From the blood and urine tests, these parameters were not within the normal range:
MCV 78.80 low
LYM% 17.90 low
RDW-CV 15.30 high

whereas in the urine:
Leukocytes 7-8

Sent by Marsela, më 27 May 2019 në 12:07

Hello Marsela, I replied to you by email

Replay from Dr. Shk. Sotiraq Lako, më 28 May 2019 në 05:47

Hello, doctor. Two months ago, an abdominal ultrasound showed that my spleen was slightly enlarged, above the maximum normal limit of 14 cm, but at that time I also did some other tests which I communicated to you here, all came out normal. The doctor suggested I have another ultrasound after two months to see if there would be a tendency to increase. I am 1.58 m tall. The second ultrasound now showed that it had decreased. The value was 13.8 at the max limit. I wanted to ask, since the value is decreasing, is this something normal? Is there something to worry about? Or maybe everything is returning to normal. I haven't had fever or pain. Thank you very much!

Sent by Ana, më 03 June 2019 në 13:43

Hello Ana, there is a slight change. There are many reasons why the spleen is slightly enlarged, both congenital and acquired. There might not be a known cause as well

Replay from Dr. Shk. Sotiraq Lako, më 04 June 2019 në 04:21

I understand. Do I need to do any analysis now or just repeat the abdominal ultrasound in 2-3 months? Thank you very much for your time

Sent by Ana, më 04 June 2019 në 12:56

Hello Ana, a slight increase is considered. You can repeat it again after 2-3 months

Replay from Dr. Shk. Sotiraq Lako, më 05 June 2019 në 04:33

Hello doctor, my husband and I did hemoglobin electrophoresis and I turned out to have thalassemia minor HbA2 3.7, and my husband is heterozygous for sickle cell. We want to get pregnant, will this cause problems for the child??? Thank you

Sent by Sabina, më 07 June 2019 në 06:01

Hello Sabina, every child that you will give birth to has a 25% chance of being a carrier of thalassemia, 25% carrier of sickle cell disease, 25% to be normal, and 25% to have Thalassemia-sickle cell disease. The last chance is problematic. To avoid it, prenatal diagnosis of the fetus is done. If it has this pathology, it is up to the couple to decide whether to keep the pregnancy or not

Replay from Dr. Shk. Sotiraq Lako, më 07 June 2019 në 08:07

Hello doctor, my husband and I have undergone hemoglobin electrophoresis, and I have been found to have thalassemia minor HbA2 3.7, and my husband turned out to have heterozygous sickle cell. We want to get pregnant; will this cause problems for the child??? Thank you

Sent by Sabina, më 07 June 2019 në 06:01

Hello Sabina, every child that you will have has a 25% chance of being a carrier of thalassemia, 25% carrier of sickle cell disease, 25% to be normal, and 25% to have Thalassemia-Sickle Cell Disease. The last chance is problematic. To avoid it, prenatal diagnosis of the fetus is done. If it has this pathology, it is up to the couple to decide whether to keep the pregnancy or not

Replay from Dr. Shk. Sotiraq Lako, më 07 June 2019 në 08:07

What problems does the latest case bring to the child?

Sent by Sabina, më 09 June 2019 në 04:13

Hello Sabina, if you and your spouse are carriers of the disease, generally without complaints, the latest case is a disease that can be manifested with anemia, bone pain, need for blood transfusions, etc

Replay from Dr. Shk. Sotiraq Lako, më 09 June 2019 në 12:17

What problems does the latest case bring to the child?

Sent by Sabina, më 09 June 2019 në 04:14

Hello Sabina, if you and your husband are carriers of the disease, generally without complaints, the latest case is a disease that can manifest with anemia, bone pain, need for blood transfusions, etc

Replay from Dr. Shk. Sotiraq Lako, më 09 June 2019 në 12:17

Hello, doctor. My son has developed 4 small glands on the lower part of his head near the neck. They seem movable. I am very worried about what they might be, in case they indicate something bad since the boy is only 2 years old. Please, what kind of visits and analyses should I do?

Sent by Ola, më 15 June 2019 në 17:24

Hello Ola, the easiest thing you can do is to evaluate them with ultrasound. From there, it can be distinguished if they are reactive, inflammation/infection, or pathological. If they are the latter, they are evaluated by hematology. The former by pediatrics

Replay from Dr. Shk. Sotiraq Lako, më 16 June 2019 në 10:51

Hello, Dr. Lako. Two days ago, I passed out and went to get blood tests done. From the results of the tests, these were the data... monocytes%-12.4
Basophils %-2.3
Basophils#-0.11
Hematocrit-30.2....RBC-4.89....Hb-8.5..MCV-61.8...MCH-17.4...MCHC-28.1...RDW-CV 19.0...PLT-437...PCL-0.41...Ferritin 2.77...while the other parameters were all normal...I am 19 years old, 1.56 meters tall, and weigh 45 kg...if you could help me with some medication, I would be very grateful. Thank you for the dedication you show to your patients

Sent by Ina, më 24 June 2019 në 12:52

Hello Ina, you have Iron Deficiency Anemia, Grade 2 (moderate). Iron deficiency can also be a cause for fainting spells. 1-Heferol 350 mg 2 x 1 capsule/day – 60 capsules/month. 2-Vitamin C 100 mg 2 x 1 tablet/day – 60 tablets/month. 3-Vitamin B6 25 mg 2 x 1 tablet/day – 60 tablets/month. 4-Folic Acid 5 mg 2 x 1 tablet/day – 60 tablets/month.

The treatment will continue for at least 3 consecutive months. You will be rechecked with a complete blood count after 1 month and after 3 months of treatment with a complete blood count + ferritinemia + Hemoglobin Electrophoresis

Replay from Dr. Shk. Sotiraq Lako, më 25 June 2019 në 08:35

Hello, how have you been? I am worried because my friend and I both turned out to be carriers of thalassemia. How does this affect the baby and at what period of pregnancy is the baby diagnosed to be a carrier or affected by it?

Sent by Loredana, më 25 June 2019 në 10:28

Hello Loredana, the current child and every other child, regardless of gender, have a 25% chance of being healthy, a 50% chance of being carriers (as each of you are) and a 25% chance of being sick with thalassemia. We are only concerned about the last possibility. The tests are done until the 20th week of pregnancy

Replay from Dr. Shk. Sotiraq Lako, më 26 June 2019 në 08:39

Hello doctor, I am 42 years old. Two months ago (April), I had my first visit with you because I had been treated with iron for months, and again in April, the values came out: Hgb: 11.5 while Fe: 28. Following your advice, I drank another 2 months of 200 mg of iron per day and vitamin B12, folic acid. After this treatment, the result went to Hgb: 12.6 but ferritin dropped to Fe: 18. The anemia improved but the iron level dropped. Please advise me on how to proceed? Should I continue taking the iron supplement for some more time? What about folic acid, B12? With respect, Ana

Sent by Ana, më 26 June 2019 në 16:54

Hello Ana, I do not treat at the same time with iron, vitamin b12, and folic acid. Only when the respective deficiency is confirmed at the same time. What was the name of the iron preparation? Ferritinemia 18 ng/ml is below the value of 20 ng/ml, the lower limit of normal. You need medication. The preparation I most often use is Heferoli 350 mg 2 x 1 capsule/day

Replay from Dr. Shk. Sotiraq Lako, më 27 June 2019 në 07:43

Hello doctor, I am 42 years old. Two months ago (April), I had my first visit with you because I had been treated with iron for months and in April the values again came out: Hgb: 11.5 while Fe: 28. Following your advice, I drank 200 mg of iron per day for another 2 months and took vitamin B12, folic acid. After this treatment, the result went to Hgb: 12.6 but ferritin dropped to Fe: 18. The anemia improved but the level of iron dropped. Please advise me on how should I proceed? Should I continue taking the iron supplement for some more time? What about folic acid, B12? With respect, Ana

Sent by Ana, më 27 June 2019 në 00:48

Hello Ana, I do not treat with iron, vitamin B12, and folic acid at the same time, only when the respective deficiency has been confirmed. What was the name of the iron preparation? Ferritinemia 18 ng/ml is below the value of 20 ng/ml, which is the lower limit of normal. You need treatment. The preparation I most often use is Heferol 350 mg 2 x 1 capsule/day

Replay from Dr. Shk. Sotiraq Lako, më 27 June 2019 në 07:43

Doctor, the medication is Ferrograd, and I have taken two capsules a day.
Thank you

Sent by Ana, më 27 June 2019 në 08:27

Ferrograd is a very good preparation (Ferrous Sulfate 105 mg Fe2+). If it has not given the desired result, it will be replaced with:
1- Heferol 350 mg 2 x 1 capsule/day – 60 capsules/month.
2- Vitamin C 100 mg 2 x 1 tablet/day – 60 tablets/month.
3- Vitamin B6 25 mg 2 x 1 tablet/day – 60 tablets/month.

And after 1 month, repeat complete blood count, ferritinemia

Replay from Dr. Shk. Sotiraq Lako, më 28 June 2019 në 03:55

Hello doctor, I am 47 years old. One night, I experienced severe leg pain and sought medical attention. The doctors suspected thrombosis. I was instructed to undergo blood tests, which yielded the following results: PT 67%, aPTT 35.1sec, INR 1.16. I would like to ask if these test results are normal, if there is any risk of thrombosis, and whether I should repeat the tests.

Thank you

Sent by milaim, më 28 June 2019 në 15:47

Hello Milaim, the tests are normal, but to see whether you have thrombosis in the leg veins or not, an Echo Doppler of them is done. Only this examination determines it

Replay from Dr. Shk. Sotiraq Lako, më 29 June 2019 në 04:50

Hello doctor, I am 47 years old. One night, I had severe leg pain and sought medical attention. The doctors suspected a thrombosis. I was advised to undergo blood tests. The results came back as follows: PT 67%, aPTT 35.1 sec, INR 1.16. I wanted to ask if these results are normal and if there's any risk of thrombosis, and whether I should repeat the tests.

Thank you

Sent by milaim, më 28 June 2019 në 15:48

Hello Milaim, the analyses are normal, but in order to see whether you have thrombosis in the blood vessels of the legs or not, an Echo Doppler of them is done. Only this examination determines it

Replay from Dr. Shk. Sotiraq Lako, më 29 June 2019 në 04:50

Hello doctor, I am the boy from Korçë, it has been 1 year since I last visited you for the G6PD deficiency and I have been fine. Do I need to do any tests occasionally or is it not necessary?

Sent by Kevin, më 13 July 2019 në 13:00

Hello Kevin, there is no need for you to have any visits or analyses. You have a mild G6PDH deficiency, it's congenital and does not change. It doesn't cause you any problems in everyday life, just don't use beans

Replay from Dr. Shk. Sotiraq Lako, më 15 July 2019 në 07:40

Hello doctor, I am 28 years old and have been anemic for some time. In my last analysis a week ago, these were out of the normal range:
Neu% 64.0 eos% 3.9, hematocrit 35.3, hemoglobin 11.1, MCV 76.6, MCH 24.1, MCHC 31.4, RDW-SD 33.8, P-LCR 44.5, PCT 0.36, erythrocyte sedimentation rate 35. My ferritin is fine, as well as B12. I started a treatment with Fysiofol liquid iron which has 40 mg Fe+ and calcium, it's been three days now. I drink it once a day mixed with orange juice. But I don't feel well at all. I feel much more exhausted than before. Very weak, very sleepy. My head feels heavy and my eyes too and I can't focus at all. I am totally drowsy and don't feel well at all. I get tired very quickly doing anything. Is this normal? Is the iron causing this or is it harming me and should I not continue with it? Please prescribe me another treatment if this one is harmful? Thank you very much, doctor. I wish you good work

Sent by Fjona, më 14 July 2019 në 09:08

Hello Fjona, you need to write down the value of RBC and the value of Ferritin. The preparation you are taking is not suitable for the treatment of iron deficiency if you have (ferritinemia in females < 20 ng/ml). If ferritinemia is normal, a mild congenital anemia will be suspected, and there is absolutely no need for iron medication

Replay from Dr. Shk. Sotiraq Lako, më 15 July 2019 në 07:45

Within possibilities, can you return a response? Thank you

Sent by Kevin, më 14 July 2019 në 14:39

Hello Kevin, there is no need for any visits or analyses. You have a mild G6PDH deficiency, it's congenital and does not change. It does not cause you any problems in everyday life, just avoid fava beans

Replay from Dr. Shk. Sotiraq Lako, më 15 July 2019 në 07:41

I was thinking it might be necessary to do a complete blood test & bilirubin, that's why I wrote to you anyway I thank you very much, you are and will remain a very special doctor, respects!!!

Sent by Kevin, më 15 July 2019 në 09:50

Enjoy life, Kevin

Replay from Dr. Shk. Sotiraq Lako, më 16 July 2019 në 13:19

Hello doctor, it's Fjona again. My ferritin is 103.8 while RBC is 4.61. The electrophoresis did not show a genetic issue. Should I then stop taking this iron supplement? What do you advise me to take?
Thank you very much

Sent by Fjona, më 15 July 2019 në 12:04

Hello Fjona, there is no need to take iron, your ferritin level is very good. If the RBC, HB values are the ones you have sent me, with normal ferritinemia you probably have mild congenital anemia despite the fact that the Hemoglobin Electrophoresis is normal (you should write it down for me to assess). If possible, you should come to Tirana one day to clarify this issue

Replay from Dr. Shk. Sotiraq Lako, më 16 July 2019 në 13:21

Hello doctor!
I am a 20-year-old girl and I kindly ask, within your capabilities, to know your opinion about a problem that bothers me. Since the age of 10, with the onset of menstruation, I have had many irregularities, and from the age of 17 until today, my cycle has not stopped. I have done a series of blood tests: Prothrombin Time Quick (PTsec) 13.4 sec, Prothrombin Time Quick (PT%) 87%, International Normalized Ratio (INR) 1.13, APTT 28.7 sec, Fibrinogen 377.5 mg/dL, Factor VIII 82%, Factor IX 102%, Von Willebrand factor 84%, Platelets 465,000, and I would like your help regarding this problem. Thank you!

Sent by Zenilda , më 16 July 2019 në 09:15

Hello Zenilda, from the age of 17 until 20, has there not been a single day without menstrual bleeding? The tests you have done are all within normal values. However, in Albania, we do not conduct tests that assess platelet function and there might be suspicion of local Hyperfibrinolysis, for which tests are conducted. I do not know if you have used Tranexamic Acid and if you have, has it been effective?

Replay from Dr. Shk. Sotiraq Lako, më 16 July 2019 në 13:27

Hello doctor!
I am a 20-year-old girl and please within your capabilities, I would like to know your opinion about a problem that concerns me. Since the age of 10 with the onset of my menstrual cycle, I have had many disorders and from the age of 17 to today, I have not had a break in my cycle. I have conducted a series of blood tests: Prothrombin Time Quick (PTsec) 13.4 sec Prothrombin Time Quick (PT%) 87% International Normalized Ratio (INR) 1.13 APTT 28.7 sec Fibrinogen 377.5 mg/dL Factor VIII 82% Factor IX 102% Von Willebrand factor 84% Platelets 465,000 and I wanted your help regarding this problem. Thank you!

Sent by Zenilda , më 16 July 2019 në 09:18

Hello Zenilda, from the age of 17 to 20, has not a single day passed without menstrual bleeding? The tests you have done are all within normal values. But in Albania, we do not conduct tests that evaluate the function of platelets and there can be suspicion of local Hyperfibrinolysis, for which tests are conducted. I do not know if you have used Tranexamic Acid and if you have used it, has it been effective?

Replay from Dr. Shk. Sotiraq Lako, më 16 July 2019 në 13:27

Hello doctor!
I am a 20-year-old girl and, within your possibilities, I would like to know your opinion about a problem that worries me. Since the age of 10, with the onset of menstruation, I have had many irregularities and from the age of 17 until today, I have not had any interruption of the cycle. I have done a series of blood tests: Prothrombin Time Quick (PTsec) 13.4 sec Prothrombin Time Quick (PT%) 87% International Normalized Ratio (INR) 1.13 APTT 28.7 sec Fibrinogen 377.5 mg/dL Factor VIII 82% Factor IX 102% Von Willebrand factor 84% Platelets 465,000 and I wanted your help regarding this problem. Thank you!

Sent by Zenilda , më 16 July 2019 në 09:28

Hello Zenilda, from the age of 17 to 20 years old, not a single day has the menstrual bleeding stopped? The tests you have done are all within normal values. However, in Albania, we do not perform tests that assess the function of platelets and local Hyperfibrinolysis can be suspected, for which tests are done. I don't know if you have used Tranexamic Acid and if you have used it, has it been effective?

Replay from Dr. Shk. Sotiraq Lako, më 16 July 2019 në 13:28

Hello again!
During these three years, I have had interruptions but only for a maximum of 7 days.. but not all the time I have had bleeding, just signs of the cycle. I have used only Yasmin and Primolut

Sent by Zenilda , më 16 July 2019 në 13:50

The parameters of Hemostasis, blood clotting, are normal for you. You can use, when you have a significant amount, Tranexamic Acid, they are ampoules and can also be taken orally (1-2 of them)

Replay from Dr. Shk. Sotiraq Lako, më 17 July 2019 në 07:53

Doctor hello,
I am 28 years old. I did a Ferritin test, and the result came out to be 16 ng/ml. I have had concerns about losing concentration, attention, and sometimes even memory in very short episodes. Does my ferritin value affect these symptoms? I also did an MRI of the brain (with contrast), and everything came out within normal limits. I would be grateful for your response. Good luck with your work

Sent by viola, më 19 July 2019 në 04:41

Hello Viola, you are considered to have an iron deficiency, which might also explain your concerns. What was the value of your hemoglobin? For 2 months, you can use:
1- Heferol 350 mg 2 x 1 capsule/day – 60 capsules/month.
2- Vitamin C 100 mg 2 x 1 tablet/day – 60 tablets/month. After 2 months of treatment, repeat:
complete blood count + ferritinemia + Hemoglobin Electrophoresis

Replay from Dr. Shk. Sotiraq Lako, më 20 July 2019 në 04:10

Doctor hello,
I am 28 years old. I did the Ferritin tests and the result came out to 16 ng/ml. I have had concerns about loss of concentration, attention, and occasionally memory in very short episodes. Does my ferritin value affect these symptoms? I also did a brain MRI (with contrast) and everything came out within normal limits. I would be grateful for your answer. Good luck with your work

Sent by viola, më 19 July 2019 në 04:50

Hello Viola, you are considered to have an iron deficiency, which could be causing your concerns. What was the value of your hemoglobin? For 2 months you can use: 1-Heferol 350 mg 2 x 1 capsule/day – 60 capsules/month. 2-Vitamin C 100 mg 2 x 1 tablet/day – 60 tablets/month. After 2 months of treatment, repeat: complete blood count + ferritin + Hemoglobin Electrophoresis

Replay from Dr. Shk. Sotiraq Lako, më 20 July 2019 në 04:10

Hello Doctor, I am a 24-year-old girl, and for about a week, I have been terribly exhausted, almost to the point of fainting, and I have almost completely lost my appetite; I can only consume one meal (lunch) in very small quantities. Also, this week my blood pressure has been very close to each other, 10 over 8 and 11 over 9.8. I just did a ferritin test and it came out to 7.1 ng/ml. Since I am unable to come to your clinic these days, can you help me with a prescription to improve my iron levels and also my appetite? Thank you and I wish you all the best

Sent by Eri, më 27 Agust 2019 në 07:27

Hello Eri, I replied to you via email

Replay from Dr. Shk. Sotiraq Lako, më 04 September 2019 në 11:40

Hello Doctor, I am a 24-year-old girl. For about a week, I have been terribly exhausted, almost fainting, and I have almost completely lost my appetite; I can only manage to eat one meal (lunch) in very small amounts. Also, this week, my blood pressure has been very close to one another, 10 over 8, and 11 over 9.8. I just had my ferritin checked, and it came out to 7.1 ng/ml. Since I am unable to come to your clinic these days, could you help me with a prescription to improve my iron level as well as my appetite? I thank you and wish you all the best

Sent by Eri, më 27 Agust 2019 në 09:36

Hello Eri, I replied to you by email

Replay from Dr. Shk. Sotiraq Lako, më 04 September 2019 në 11:40

Hello doctor, I have a 4-year-old daughter, and she has developed red blood streaks on her arm and small hematomas on her leg and arm. I am very worried. I did a complete blood analysis with these values: WBC 7.45, LYM 2.96, RBC 5.38, MCHC 28.4, MCH 22.4, MCV 78.7, PLT 290, MPV 6.7, PCT 0.195, P-LCR 8.0, ESR 18, and sedimentation 110. Now doctor, I would like to know if my daughter has a problem with her platelets, are these hemorrhagic signs, and what could cause them? I await your response, doctor, as I am very worried. Thank you

Sent by Fatma , më 30 Agust 2019 në 09:40

Hello Fatma, the platelets are normal. The value of hemoglobin is missing. ESR is the erythrocyte sedimentation rate, is it 18 or 110? You will first be directed to a pediatrician and if they consider hemorrhagic spots, PT, APTT, Fibrinogen will also be done

Replay from Dr. Shk. Sotiraq Lako, më 04 September 2019 në 11:48

Hello Doctor,
I am 26 years old and have done blood tests, and there are some indicators I do not understand: SGOT, SGPT, ALP-DEA, g-GT, CRP, Quick time, which have come out about 10 times higher than the norms.
Can you tell me if I have any serious health problems?
I remain in waiting for your response, thanking you

Sent by Meri, më 05 September 2019 në 13:37

Hello Meri, you will discuss these analyses with the hepatologist (liver) or infectious disease doctor

Replay from Dr. Shk. Sotiraq Lako, më 06 September 2019 në 07:03

Hello doctor, I am 31 weeks pregnant and I did hormonal analysis and my ferritin turned out to be low, 7.50. Is there anything to be worried about? Thank you, Aurora

Sent by Aurora, më 07 September 2019 në 03:57

Hello Aurora, iron deficiency is very common in pregnancy. Of course, it needs to be treated and corrected (minimum 20 ng/ml and optimal value around 60 ng/ml). It cannot be achieved with iron supplements, only by taking the appropriate medication

Replay from Dr. Shk. Sotiraq Lako, më 08 September 2019 në 05:02

Hello, doctor!
My son is 15 years old and engages in sports. I had his blood work done for a routine check, and the results were:
Wbc 4.5
Rbc 5.45
Hgb 13.6
Htc 38.9
Mcv 71.4
Mch 25
Mchc 35
PLT 310
LY 43.9
MO 4.7
GR 51.4
RDV 10.7
PCT 0.19
MPV 6.2
PDW 16.7
I am concerned about the PCT and MCV being below normal. What do you advise? Thank you!

Sent by Ema, më 09 September 2019 në 10:13

Hello Ema, you will do Ferritinemia and Hemoglobin Electrophoresis for the boy

Replay from Dr. Shk. Sotiraq Lako, më 11 September 2019 në 06:26

Hello doctor! I have a 20-month-old daughter, and from the routine tests, these results came out: WBC-11.53, NEU%-54.6, LYM%-37.5, MONO%-6.3, BASO%-0.4, LYM#-4.32, PCT-0.38%. The other results are within the norm. I am worried because her C-Reactive Protein=12.91mg/L, meanwhile Ferritin=28.51ng/mL, Sideremia=30.69, and Glucose=56.4mg/dL. I emphasize that during this period, her canine teeth are erupting. Please, I would like your advice on how to proceed

Sent by Irisa, më 12 September 2019 në 14:29

Hello Irisa, currently there are no hematological changes, so there is no need for medication. C-Reactive Protein is an Acute Phase Inflammation protein, meaning any inflammatory condition in the body is accompanied by its increase, including the eruption of teeth

Replay from Dr. Shk. Sotiraq Lako, më 14 September 2019 në 03:06

Doctor, your explanations are quite humane and help people

Sent by Mira, më 20 September 2019 në 11:42

Thank you, Mira

Replay from Dr. Shk. Sotiraq Lako, më 22 September 2019 në 11:20

Hello doctor. My 54-year-old brother suffers from cirrhosis. The blood tests showed leukocytes 5000, Erythrocytes 376000, Hgb 9.1, Sedimentation 56. Please, how can we treat the anemia? Thank you

Sent by Mira, më 20 September 2019 në 12:38

Hello Mira. The function of the liver is important for hematological parameters. Your brother has Mild/Moderate Hypochromic Microcytic Anemia. It also matters if there is cirrhosis with an alcoholic, viral, etc., origin. Whether the spleen is enlarged. Chronic inflammation such as Liver Cirrhosis is itself a cause for anemia, Anemia from Chronic Inflammation and as a rule, this anemia cannot be corrected, due to the fact that the liver function itself cannot be corrected. If the anemia is due to a lack of iron, vitamins, it is possible to correct it by taking the corresponding medications. For this, tests for ferritin, serum iron, TIBC, Vitamin B12, Folic Acid are done. It is also necessary to note the platelet count (Plt)

Replay from Dr. Shk. Sotiraq Lako, më 22 September 2019 në 11:24

Hello doctor. Thank you for the response. My brother did additional tests in another laboratory after 3 days. The results were leukocytes 12000, RBC 2,500,000, Hgb 8, ferritin 8. The hepatologist prescribed medication after the tests, Globi Fer 2x1. But it seems to be a small dose, what do you advise? Thank you

Sent by Mira, më 24 September 2019 në 22:30

Hello Mira, the anemia with these values that you have presented doesn't seem to be purely from an iron deficiency. For the low ferritin, the preparation that has been given to you is unable to correct these problems. You will use for 1 month: Ironorm 3 x 1 capsules/day between or after meals. After 1 month, you will do: complete blood count, ferritin, vitamin B12, Erythrocyte sedimentation rate

Replay from Dr. Shk. Sotiraq Lako, më 25 September 2019 në 05:04

Hello, I am Dr. Adnani. My RBC is 5.1 while hemoglobin is 124. Ferritin is 259. Thank you, doctor, for your valuable advice

Sent by Adnan , më 26 September 2019 në 07:15

You probably have Thalassemia Minor. You will do Hemoglobin Electrophoresis

Replay from Dr. Shk. Sotiraq Lako, më 27 September 2019 në 05:07

Hello, I am Doctor Adnani. My RBC is 5.1 while hemoglobin is 124. Ferritin is 259. Thank you doctor for your valuable advice

Sent by Adnan , më 26 September 2019 në 07:36

You probably have Thalassemia Minor. You will do Hemoglobin Electrophoresis

Replay from Dr. Shk. Sotiraq Lako, më 27 September 2019 në 05:07

There is a problem with using ironorm in patients with cirrhosis. Thank you

Sent by Mira, më 27 September 2019 në 13:50

Hello Mira, when iron is taken orally, it is not absorbed more than what the body needs. So, there is never a chance of iron overload, which is usually stored in the liver. If it is cirrhosis without esophageal varices, there is also no risk for damage to the mucosa and favoring hemorrhages. We use it often

Replay from Dr. Shk. Sotiraq Lako, më 28 September 2019 në 07:54

Hello doctor, I am Adnani from Kosovo. I have done this analysis HEMOGLOBIN ELECTROPHORESIS and this is how the results came out: HbA 96.2 HbA2 3.8 is that okay, please I need advice

Sent by Adnan , më 29 September 2019 në 03:53

Hello Adnan, you have Beta-Thalassemia Minor, the Albanian population has many such cases. Nothing changes for you, it is not treated. Your children will also be evaluated with the same tests you underwent, to see if they have this condition as well. If you plan to have more children, your spouse must necessarily do the same. Read more here: https://www.mjeket.al/index.php?go=article&id=109

Replay from Dr. Shk. Sotiraq Lako, më 29 September 2019 në 12:29

Hello doctor, I am Adnan from Kosovo. I have done this analysis HEMOGLOBIN ELECTROPHORESIS and the results are as follows: HbA 96.2 HbA2 3.8 is that okay, please I need advice

Sent by Adnan , më 29 September 2019 në 07:19

Hello Adnan, you have beta-Thalassemia Minor, the Albanian population has many such cases. Nothing changes for you, it is not treated. Your children will also be evaluated with the same tests you did, to see if they have this condition too. If you plan to have more children, your spouse must necessarily do it too. Read more here: https://www.mjeket.al/index.php?go=article&id=109

Replay from Dr. Shk. Sotiraq Lako, më 29 September 2019 në 12:29

Hello Dr. Adnani, I am from Kosovo and I wanted to ask because I am very worried. Since I have beta thalassemia minor, is this dangerous and can it be treated with any therapy because the doctor has given me a folic acid 5 mg tablet. But I am scared that maybe I won't be able to live a normal life. Thank you, doctor, may God reward you

Sent by Adnan , më 30 September 2019 në 02:26

Adnani, continue your normal life. And Zinedine Zidane, has beta-Thalassemia Minor, but he is a World and European champion and today he manages Real Madrid. It is a mild disease, with which you were born, it never changes and you will have it for the rest of your life. Read the article I sent you

Replay from Dr. Shk. Sotiraq Lako, më 30 September 2019 në 06:06

Hello Dr. Adnani, I wanted to ask since I now have thalassemia minor. But I have a lot of pain in my body, I can't walk much and I feel very tired, I can't stand for long. I'm also not performing well even on Friday. I've been using folic acid twice a day, 5mg. Will my condition improve over time, doctor? Please, I need to work to support my children. Thank you, doctor, from you

Sent by Adnan, më 01 October 2019 në 09:43

Hello Adnani, none of your complaints are related to Thalassemia Minor. If they are such, other causes must be sought

Replay from Dr. Shk. Sotiraq Lako, më 06 October 2019 në 11:53

Greetings Dr. Adnani, I wanted to ask because I am now with thalassemia minor. But I have a lot of weakness in my body, I can't walk much and I feel very tired, I can't stand for long. And I'm not doing well even on Friday. I am taking folic acid twice a day, 5 mg. Will my condition improve as time goes by, doctor, I beg you because I need to work to support my children. Thank you, doctor, from you

Sent by Adnan, më 01 October 2019 në 09:45

Hello Adnan, none of your complaints are related to Thalassemia Minor. If they are such, other causes must be sought

Replay from Dr. Shk. Sotiraq Lako, më 06 October 2019 në 11:54

Hello Dr. Sotiraq! I have done the blood tests and everything came out fine with hemoglobin 12.7 but ferritin 1 and certainly you know the consequence because even a year ago my ferritin was a bit low but not 1 ...and what should I use? I am worried...I would thank you immensely!

Sent by aida, më 03 October 2019 në 06:08

Hello Aida, this is considered Iron Deficiency. You will be re-examined to bring this value around 60 ng/ml. It is repeated because only the consequence is treated, not the cause. In women who have menstruations, the main cause of iron deficiency is the repeated loss of menstrual blood

Replay from Dr. Shk. Sotiraq Lako, më 06 October 2019 në 12:04

Hello Doctor, my blood analysis has these values (and approximately these in the recent years):
WBC 5.38, RBC 4.45, HGB 14.3, HCT 41.2, MCV 92.6, MCH 32.1, MCHC 34.7, PLT 229, RDW-SD 41.5, RDW-CV 12.5, MPV 11.1, P-LCR 32.7, PCT 0.25, NEUT 3.95 (73.4%), LYM 1.12 (20.8%), MONO 0.23 (4.3%), EO 0.06 (1.1%), BASO 0.02 (0.4%)

HBA 96.2, HBA2 2.9, HBF 0.9

Is there anything to be concerned about?

Sent by Blerta, më 07 October 2019 në 15:49

Hello Blerta, The Hb electrophoresis is indicative of beta-Thalassemia Minor (HbA1 < 96.5%). You will also need to do a ferritin test

Replay from Dr. Shk. Sotiraq Lako, më 08 October 2019 në 06:24

Hello, Dr. Lako. I have had a complete check-up and my WBC values came out to be 4.83...monocytes % 8.7...eosinophils% 3.5...and erythrocyte sedimentation rate 30...I should note that today, when I did the check-up, I was with the flu and it has been 4 days since I finished treatment for giardia lamblia...meanwhile, my urine showed an infection as I also have two kidney stones...I am writing to you because the value of the blood count elements worried me the most...Is it something to worry about or has the flu and parasitic infection had an effect? Thank you for your dedication

Sent by Ana, më 14 October 2019 në 10:05

Hello Ana, the values you have presented are within the norm

Replay from Dr. Shk. Sotiraq Lako, më 15 October 2019 në 06:15

Hello Dr, I am 23 years old. Two days ago, I did a routine check-up at the American hospital and the result showed that I had an increase in erythrocytes 5.29, basophils, and eosinophils

Sent by Entela, më 15 October 2019 në 02:55

Hello Entela, the full analysis needs to be reviewed and if they are elevated, we usually reassess them to see if they are transient or permanent. When they are permanent, we will evaluate them

Replay from Dr. Shk. Sotiraq Lako, më 15 October 2019 në 06:14

I forgot to mention that I am 24 years old... meanwhile, the normal range was up to 20, while for me it turned out to be 30, therefore I asked you if it's something to be worried about

Sent by Ana, më 15 October 2019 në 07:32

Hello Ana, ESR is a bit elevated, it might also be an indicator of the condition that you have gone through

Replay from Dr. Shk. Sotiraq Lako, më 15 October 2019 në 13:54

Thank you very much for the response! I am sending you the full analysis. Wbc 8.95. Rbc 5.25 Hgb 14.40 Hct 42.80 Mvc 81.50. Mch 27.50 Mchc 33.70 Plt 274.00 Lym% 33.80 Mono% 3.70 EP 10.70 Baso% 2.20 Neut% 49.60 Lym 3.03 Mono 0.33 Eo 0.96 Baso 0.20 Neut 4.44 Rdw-cv 14.40 Rdw-sd 41.20 Pdw 13.90 Mpv 8.90 p-l-cr 22.58. I am a bit scared. If I need to do any additional analysis, and could it be something serious? Thank you once again

Sent by Entela , më 15 October 2019 në 07:34

Hello Entela, your erythrocyte, hemoglobin, and hematocrit values are normal. You only have elevated Eosinophils, which we first evaluate if you are allergic or not and the presence of parasites. It does not mean that you have a blood disease

Replay from Dr. Shk. Sotiraq Lako, më 15 October 2019 në 13:57

Thank you very much for the response! I am sending you the full analysis. WBC 8.95. RBC 5.25 Hgb 14.40 Hct 42.80 MCV 81.50. MCH 27.50 MCHC 33.70 PLT 274.00 Lym% 33.80 Mono% 3.70 EP 10.70 Baso% 2.20 Neut% 49.60 Lym 3.03 Mono 0.33 Eo 0.96 Baso 0.20 Neut 4.44 Rdw-cv 14.40 Rdw-sd 41.20 Pdw 13.90 Mpv 8.90 p-l-cr 22.58. I am a bit scared. If I need to do any additional analysis, and could it be something serious? Thank you once again

Sent by Entela , më 15 October 2019 në 08:59

Hello Entela, your erythrocyte, hemoglobin, and hematocrit values are normal. You only have elevated Eosinophils, which we primarily evaluate to see if you are allergic and for the presence of parasites. It doesn't mean that you have a blood disease

Replay from Dr. Shk. Sotiraq Lako, më 15 October 2019 në 13:58

Hello doctor. I have done blood tests and my hemoglobin came out to 8.1 while platelets 607. How concerning are these results? Thank you in advance

Sent by Fatbardha Zika , më 18 October 2019 në 14:18

Hello Fatbardha, of course, you have anemia, grade 2, moderate, and an increase in the mild grade of platelets. It could be related to iron deficiency: you will note the value of RBC, of WBC, of ferritinemia

Replay from Dr. Shk. Sotiraq Lako, më 19 October 2019 në 02:38

Hello doctor, I have had an abdominal ultrasound and the spleen size turned out to be 13 cm. The doctor recommended blood tests, all of which came back within normal ranges. I am 38 years old. Do you think I have an enlarged spleen with these measurements? Height 1.60m and weight 62 kg. Thank you

Sent by ada, më 23 October 2019 në 02:59

Hello Ada, we consider it a slight increase. It might be a coincidence, and there are many reasons that could cause the increase. If you would have a previous ultrasound, it would be helpful, because you would have something to compare it with. You will repeat it after 2-3 months and they will be compared with each other

Replay from Dr. Shk. Sotiraq Lako, më 24 October 2019 në 10:29

Hello Doctor. I have written to you other times.. my father is 70 years old and was diagnosed with Myelodysplasia three and a half years ago. He caught the flu a week ago and these days. His temperature won't drop below 38. He was examined and did not have a cold. He continues with fever, weakness, and insomnia..does this have to do with his illness, please?

Sent by Leda, më 29 October 2019 në 04:41

Hello Leda, generally MDS is not accompanied by fever. Urine analysis is done, for another possible source of infection. The leukocyte formula, LDH, needs to be done

Replay from Dr. Shk. Sotiraq Lako, më 29 October 2019 në 07:08

Hello Dr. Sotiraq. I have an 11-month-old daughter who is very pale in the face and is gaining very little weight. The pediatrician advised me to have her blood tested since I myself am a carrier of thalassemia minor. I am very worried because almost all the values are out of the normal range. The comment on the analysis talks about microcytosis. The values are as follows:
RBC 6.78
WBC 4.63
Hgb 9.4
Hct 28
Mcv 60.50
Mch 20.2
Mchc 35.5
Rdw 14.3
Platelets 245

Ferritin 40
Creatinine 0.31
LDH 286

LEUKOCYTE FORMULA

Neutrophil Granulocytes 12.60
Lymphocytes 67.80
Monocytes 9.4
Eosinophil Granulocytes 3.2
Basophil Granulocytes 1.00

ABSOLUTE VALUES
Neutrophil Granulocytes 0.86
Lymphocytes 4.59
Monocytes 0.64
Eosinophil Granulocytes 0.21
Basophil Granulocytes 0.07
COMMENT: Microcytosis

PLEASE advise me on what I should do next as I am very worried. Thank you very much, Linda

Sent by Linda, më 02 November 2019 në 11:59

Hello Linda, you are doing well to be a carrier of Thalassemia, as are you. Of course, there is anemia, mild, which is responsible for the paleness, but it is not treated (Thalassemia Minor is a congenital, genetically determined pathology). Ferritinemia is normal. Has your husband done: complete blood count, ferritinemia, Hemoglobin Electrophoresis?

Replay from Dr. Shk. Sotiraq Lako, më 03 November 2019 në 03:18

Hello, Dr. Sotiraqi. My 11-month-old daughter has a very pale face and gains very little weight. The pediatrician advised me to have her blood tested since I am also a carrier of thalassemia minor. I am very worried because almost all the values are outside the norms. The comment in the analysis talks about microcytosis. The values are as follows:
RBC 6.78
WBC 4.63
Hgb 9.4
Hct 28
Mcv 60.50
Mch 20.2
Mchc 35.5
Rdw 14.3
Platelets 245

Ferritin 40
Creatinine 0.31
LDH 286

WHITE BLOOD CELL FORMULA

Neutrophilic Granulocytes 12.60
Lymphocytes 67.80
Monocytes 9.4
Eosinophilic Granulocytes 3.2
Basophilic Granulocytes 1.00

ABSOLUTE VALUES
Neutrophilic Granulocytes 0.86
Lymphocytes 4.59
Monocytes 0.64
Eosinophilic Granulocytes 0.21
Basophilic Granulocytes 0.07
COMMENT: Microcytosis

PLEASE can you suggest how I should proceed further as I am very worried. Thank you very much, Linda

Sent by Linda, më 02 November 2019 në 11:59

Hello Linda, you are doing very well, being a carrier of Thalassemia, as are you. Of course, there is anemia, mild, which is responsible for the paleness, but it is not treated (Thalassemia Minor is a congenital pathology, genetically determined). Ferritin levels are normal. Has your husband done a complete blood count, ferritin levels, Hemoglobin Electrophoresis?

Replay from Dr. Shk. Sotiraq Lako, më 03 November 2019 në 03:18

Hello doctor,
A week ago, I was hospitalized in Italy where I underwent iron therapy since my ferritin level was lower than 1. I had an abdominal ultrasound, and my organs were fine except for my uterus, which was abnormally swollen, for which I will have another check. In Italy, I also had a spleen analysis, and it came out fine. However, since I was going through a difficult emotional period, I insisted on returning to Albania. Now, I feel extremely tired; I have internal burning in my chest near the heart, and I want to cough but am too tired to even move. I am only taking iron Niferex solution. Is this a normal condition, or should I have my lungs checked as well?
I am also waiting for the results of gluten intolerance and Vitamin D tests. What do you recommend I do during this time, start physical activity or stay in bed? My hemoglobin is now 8.4

Sent by Albina, më 02 November 2019 në 13:17

Hello Albina, if your Hb is 8.4 gr/dl, you certainly have significant anemia (Grade 2, moderate), which could justify your concerns. I don't know what IV iron you have received, what dose? If you have received the correct preparation and dose, the production of new erythrocytes is expected, and as a rule, we expect hemoglobin to increase by 1 gr/dl per week. If they have given you the correct dose, you don't need to take more iron orally. If it's anemia due to iron deficiency, it's not necessary to also have had the Red Bone Marrow analysis. The best indicator of diagnosis is the correction of anemia and iron deficiency through treatment. The echo is not important. If there's iron deficiency, only visible or invisible blood losses are sought (in women, menstruation plays a key role) and loss through sweat (mainly in athletes)

Replay from Dr. Shk. Sotiraq Lako, më 03 November 2019 në 03:23

Hello doctor, I wanted to know what are the recommendations for a newborn with iron deficiency anemia

Sent by Edona, më 02 November 2019 në 16:57

Hello Edona, if the diagnosis is confirmed, only treatment with the right drug, the right dose, and the right time is needed to correct the anemia and the iron deficiency itself

Replay from Dr. Shk. Sotiraq Lako, më 03 November 2019 në 03:25

Doctor, thank you very much for your answer, very kind and accurate! I am writing to you again following up on the question about the daughter who might be a carrier of thalassemia minor, as am I. ...My husband has done all the tests and the values are normal! He is not a carrier of thalassemia. I wanted to ask you, doctor, if it is normal for the leukocyte formula to be inverted in children since there are more leukocytes than neutrophils? These were the values of the analysis
RBC 6.78 WBC 4.63 Hgb 9.4 Hct 28 Mcv 60.50 Mch 20.2 Mchc 35.5 Rdw 14.3 Platelets 245 Ferritin 40 Creatinemia 0.31 LdH 286
LEUKOCYTE FORMULA
Neutrophil Granulocytes 12.60 Lymphocytes 67.80 Monocytes 9.4 Eosinophil Granulocytes 3.2 Basophil Granulocytes 1.00
ABSOLUTE VALUES
Neutrophil Granulocytes 0.86 Lymphocytes 4.59 Monocytes 0.64 Eosinophil Granulocytes 0.21 Basophil Granulocytes 0.07 .....
I thank you very much for every response and above all for the human and compassionate aspect you show in every comment. We need doctors like you!

Sent by Linda, më 03 November 2019 në 05:26

Hello Linda, in newborns, the number of lymphocytes is higher than that of neutrophils and gradually this number will return to adult values around the age of 6 years. The importance of the spouse not being a carrier of hemoglobinopathies is for the other children

Replay from Dr. Shk. Sotiraq Lako, më 03 November 2019 në 09:22

Hello doctor, I wanted to know what are the recommendations for a newborn with iron deficiency anemia

Sent by Edona, më 03 November 2019 në 10:26

Hello Edona, I am an adult hematologist. When children have anemia from iron deficiency, they are treated by a pediatrician or pediatric hematologist. The principle is the same, but the preparations are different, the child's dose is calculated based on weight

Replay from Dr. Shk. Sotiraq Lako, më 04 November 2019 në 04:17

Hello doctor, I am Adnani. I wanted to ask a question because I am now with minor thalassemia. For two months now, I have been suffering from depression. I read that until the anemia improves, the depression won't go away. I got very upset and have started to worry a lot. A response, please, doctor

Sent by Adnan , më 07 November 2019 në 03:00

Hello Adnani, Thalassemia Minor has no connection with depression, and depression has no connection with Thalassemia Minor. You were born with Thalassemia Minor and you will have Thalassemia Minor all your life. So, you will go to the depression specialist and will take all the necessary medications for it. Do not worry at all about Thalassemia Minor

Replay from Dr. Shk. Sotiraq Lako, më 07 November 2019 në 03:43

Hello. My brother suffers from cirrhosis and has started to bleed pure blood from defecation. He takes vitamin K 100mg. What medication can he take? He follows a diet and drinks Duphalac. Thank you

Sent by Mira, më 26 November 2019 në 05:45

Hello Mira, for this problem you will discuss with the gastro-hepatologist, the doctor who is treating you for Liver Cirrhosis

Replay from Dr. Shk. Sotiraq Lako, më 26 November 2019 në 08:31

Thank you for the response. But the gastrohepatologist tells us that there's nothing they can do. The tests showed Hb 8 and red blood cells 2,800. Thanks

Sent by Mira, më 26 November 2019 në 08:51

Hello Mira, if there is visible bleeding, a fight is made to find the origin and at a minimum, gastroscopy and colonoscopy are performed. If something is found, intervention is made to stop it. Currently, there is moderate anemia

Replay from Dr. Shk. Sotiraq Lako, më 27 November 2019 në 03:48

Hello doctor! I have had reactive inguinal lymph nodes for some time, measuring 1.3 and 1.5 cm. From the tests done, my ferritin is low while my sedimentation rate is 120. Hgb 12.5, Mpv 6.6, and P-LCR 7.2. What do you think doctor, what else should I do?

Sent by Alba, më 26 November 2019 në 16:20

Hello Alba, reactive lymph nodes are not related to the decrease in ferritin. If you have low ferritinemia, you are considered to have an iron deficiency, and for 1.5-2 months, you should take the medicinal dose of iron to correct it

Replay from Dr. Shk. Sotiraq Lako, më 27 November 2019 në 03:50

Thank you for the response! But I wanted something more about the thyroid nodules, what kind of analysis or examination should I do, in order to reach a conclusion about where it comes from and what treatment I should take

Sent by Alba, më 27 November 2019 në 13:55

Hello Alba, it's hard to explain everything in writing. The patient is examined, the peripheral lymph nodes are initially assessed by palpation, an ultrasound is done, magnetic resonance imaging of course, and blood tests. When the data indicate a pathological lymph node, a biopsy will be performed

Replay from Dr. Shk. Sotiraq Lako, më 28 November 2019 në 03:34

Hello doctor, I wanted to ask a question. Since I have thalassemia minor, does this affect my marital intimate relationships in terms of experiencing significant fatigue after the act... even though the psychologist has told me that I have anxiety and stress

Sent by Adnan , më 01 December 2019 në 12:28

Hello Adnan, there is no connection. Always remember Zidane, World Champion, European Champion, full of kids

Replay from Dr. Shk. Sotiraq Lako, më 02 December 2019 në 03:18

Hello doctor. My brother was being treated at the hospital with tranexamic acid 500mg/5ml ampoules. Is there a tablet medication like this coagulant? Thank you

Sent by Mira, më 04 December 2019 në 02:06

Hello Mira, there are tablets, but they are hard to find in Albania. The content of the ampoules can be taken orally

Replay from Dr. Shk. Sotiraq Lako, më 06 December 2019 në 11:02

Hello Doctor, how are you, hope you're well. I wanted to ask something, maybe I'm not bothering you too much, but you are a special doctor and you try your best to help people. May God reward you. I wanted to ask since I now have thalassemia minor, I have my hemoglobin checked every month and my hemoglobin levels fluctuate, sometimes they are low, sometimes they rise 117, 120, 130, 135. And I'm getting worried, maybe my levels are dropping too much and I'm afraid I might need a transfusion. Can depression and anxiety lower my hemoglobin because I have been dealing with depression and anxiety for 3 months now, since depression and anxiety can cause a lot of damage to our body and mind. Please, I need an answer doctor because I'm very worried

Sent by Adnan , më 06 December 2019 në 13:57

Hello Adnan. We have discussed many times. You have a problem that many people are aware of and do not pay any attention to, and there are also many people who have it and do not know it. At least one of your parents has it, one of your grandparents has it. But they have no complaints. If you have not passed it on to your children, it is a problem that does not matter at all. It has nothing to do with depression

Replay from Dr. Shk. Sotiraq Lako, më 06 December 2019 në 14:31

Hello Doctor, how are you, hope you're well. I wanted to ask something, hopefully, I'm not being too much with you, but you are a special doctor and you try your best to help people. May God reward you. I wanted to ask since I now have minor thalassemia, every month I have a control with hemoglobin and my hemoglobin sometimes is lower, sometimes it increases 117, 120, 130, 135. And I'm getting worried maybe it's dropping too much and I'm afraid I might need a transfusion. Also, can depression and anxiety lower my hemoglobin because I've been with depression, anxiety for 3 months now, knowing that depression and anxiety can cause a lot of damage to our body and mind. Please, I need an answer, Doctor, because I'm really worried

Sent by Adnan , më 06 December 2019 në 13:59

Hello Adnan. We have discussed many times. You have a problem that many people who know about it don't pay any attention to, and there are also many people who have it and don't know about it. At least one of your parents has it, one of your grandparents has it. But they have no complaints. If you haven't passed it on to your children, it's a problem that doesn't matter at all

Replay from Dr. Shk. Sotiraq Lako, më 06 December 2019 në 14:31

Thank you, doctor, may God reward you. I was very worried that my hemoglobin might be dropping too much, but now I can rest easy because I need to work to take care of and feed the children

Sent by Adnan , më 06 December 2019 në 15:26

Hello Adnan. We have discussed many times. You have a problem that many people know about and pay no attention to, and there are also many people who have it and don't know it. At least one of your parents has it, one of your grandparents has it. But they have no complaints. If you haven't passed it on to your children, it's a problem that doesn't matter

Replay from Dr. Shk. Sotiraq Lako, më 07 December 2019 në 05:30

Doctor, I know I haven't been too much with you, thank you from you, it's the middle of the night, two o'clock, I have a worry, a layer because I fear my hemoglobin might be dropping too much and I'm doing it to take a jacket. But I'm afraid this might happen, please tell me about this concern, doctor, please

Sent by Adnan , më 06 December 2019 në 19:25

Hello Adnan. We have discussed many times. You have a problem that many people are aware of but pay no attention to, and there are also many people who have it and don't know it. At least one of your parents has it, one of your grandparents has it. But they have no complaints. If you haven't passed it on to your children, it's a problem that doesn't matter at all

Replay from Dr. Shk. Sotiraq Lako, më 07 December 2019 në 05:30

Thank you, doctor. You have a lot of patience in reading our problems and responding to us. My brother suffers from cirrhosis, which causes problems with blood circulation and bleeding. We want to prevent the bleeding, which only occurs during defecation, even though he takes the necessary medications, dphalak, and uses Hemopran cream, as well as a diet high in fiber and vegetables, to avoid severe anemia. You wrote to me that tranexamic acid can be taken orally. Should he take it twice a day? And how many days is it allowed to be taken at home when there is minor hemorrhage? Hgb is 10.8 and Erythrocytes are 3500. Once again, thank you and success in your so important and humanitarian mission for the patients. God bless you and your family

Sent by Mira, më 06 December 2019 në 22:33

Hello 2 or 3 times a day, as the doctors have explained and taking the pills orally. Currently, there is mild anemia

Replay from Dr. Shk. Sotiraq Lako, më 07 December 2019 në 05:29

Doctor, you wrote to me to take the ampoule orally, and that's why I was asking. How often should I take it? Thank you

Sent by Mira, më 07 December 2019 në 06:15

Hello Mira, I have written to you before. 2 or 3 times a day, as the doctors have explained to you, and taking the pills orally. Currently, she has mild anemia

Replay from Dr. Shk. Sotiraq Lako, më 07 December 2019 në 12:17

Hello Dr. Sotiraq Lako! I am 38 years old and after having my blood tests, I had these results: WBC 7.7, RBC 4.64, HGB 10.6, HCT 35.1, MCV 75.6, MCH 22.8, MCHC 30.2, ferritin 18.74, vitamin B12 317.1, sideremia 370.8. I am very concerned about the high sideremia value and wanted to know something about the treatment. With respect

Sent by Orsjola, më 09 December 2019 në 13:26

Hello Orsjola, you currently have Grade 1 (mild) Hypochromic Microcytic Anemia with low Ferritinemia, probably due to iron deficiency (Ferritinemia < 20 ng/ml). You will be treated with iron preparations for at least 3 months. Sideremia is rarely used in practice, as it is prone to many errors in its measurement and is affected by food, medications, and supplements containing iron

Replay from Dr. Shk. Sotiraq Lako, më 09 December 2019 në 14:19

Hello doctor, I did a complete blood analysis and these values came out PLT 208, PCT 0.29, MPV 13.8 PDW 20.5 P-LCR 56.5%. These last 3 are higher than normal. Is it something to worry about? Thank you!

Sent by Denisa , më 10 December 2019 në 14:34

Hello Denisa, your peripheral blood analysis is normal

Replay from Dr. Shk. Sotiraq Lako, më 11 December 2019 në 08:27

Hello doctor, I did a complete blood analysis and these values came out PLT 208, PCT 0.29, MPV 13.8 PDW 20.5 P-LCR 56.5%. These last 3 are higher than normal. Is it worrisome? Thank you!

Sent by Denisa , më 10 December 2019 në 14:47

Hello Denisa, your peripheral blood analysis is normal

Replay from Dr. Shk. Sotiraq Lako, më 11 December 2019 në 08:27

Hello doctor, I did a complete blood test and these values came out: PLT 208, PCT 0.29, MPV 13.8 PDW 20.5 P-LCR 56.5%. These last 3 are higher than normal. Is it something to worry about? Thank you!

Sent by Denisa , më 10 December 2019 në 15:19

Hello Denisa, your peripheral blood analysis is normal

Replay from Dr. Shk. Sotiraq Lako, më 11 December 2019 në 08:27

Dr. Sotiraqi, I thank you very much for your response. Yesterday, I also received the electrophoresis result, (since my birthplace is in the Berat area), and the results were HB A 97.7, HB A2 2.3. Do these results indicate a congenital anemia?

Secondly, regarding the iron treatment, before I conducted the sideremia and ferritin analysis, I had been taking iron (Oviron 2 capsules a day) for 5 days. After we saw the sideremia, we decided to take 1 capsule a day. Is the treatment with 1 capsule a day okay, and should vitamin C be taken as a supplement as well? Thank you very much and I congratulate you on your professionalism as a doctor. Best impressions for your work :)

Sent by Orsjola, më 11 December 2019 në 02:43

Hello Orsjola, the treatment with Oviron is 3 x 1 capsule/day (1 capsule is considered a supplement). The purpose of the treatment is not to regulate sideremia, but to initially regulate hemoglobin (Hb 12 gr/dl and above) and ferritin levels (the minimum in females is 20 ng/ml and the optimal value is around 60 ng/ml). The electrophoresis of Hb is normal

Replay from Dr. Shk. Sotiraq Lako, më 11 December 2019 në 08:29

Dr. Sotiraqi, I thank you very much for your response. Yesterday, I also received the hemoglobin electrophoresis result, (given that my birthplace is in the Berat area), and the results were HB A 97.7, HB A2 2.3. Do these results indicate a congenital anemia?

Secondly, regarding the iron treatment, before I did the sideremia and ferritin analysis, I had been taking Oviron iron, 2 capsules a day, for 5 days. After seeing the sideremia, we decided to take 1 capsule a day. Is it okay to continue the treatment with 1 capsule per day, and should I also take vitamin C as a supplement? Thank you very much and I congratulate you on your professionalism as a doctor. Best impressions for your work :)

Sent by Orsjola, më 11 December 2019 në 02:55

Hello Orsjola, the treatment with Oviron is 3 x 1 capsule/day (1 capsule is considered a supplement). The purpose of the treatment is not to regulate sideremia, but to initially regulate hemoglobin (Hb 12 gr/dl and above) and ferritinemia (minimum in females 20 ng/ml and the optimal value around 60 ng/ml). The hemoglobin electrophoresis is normal

Replay from Dr. Shk. Sotiraq Lako, më 11 December 2019 në 08:29

Dr. Sotiraqi, I thank you very much for your response. Yesterday, I also received the electrophoresis results, (Given that my hometown is in the Berat area) and the results were HB A 97.7, HB A2 2.3. Do these results indicate a congenital anemia?

Secondly, regarding the iron treatment, before conducting the sideremia and ferritin analysis, I had been treating with iron oviron 2 capsules a day for 5 days. After seeing the sideremia, we decided to take 1 capsule a day. Is the treatment with 1 capsule a day okay, and should I also take vitamin C as a supplement? Thank you very much, and I commend you for your professionalism as a doctor. The best impressions for your work :)

Sent by Orsjola, më 11 December 2019 në 03:23

Hello Orsjola, the treatment with Oviron is 3 x 1 capsule/day (1 capsule is considered a supplement). The purpose of the treatment is not to regulate sideremia, but initially the hemoglobin (Hb 12 gr/dl and above) and ferritinemia (minimum in females 20 ng/ml and optimal value around 60 ng/ml). The hemoglobin electrophoresis is normal

Replay from Dr. Shk. Sotiraq Lako, më 11 December 2019 në 08:29

Hello doctor, I hope you are well. I am Denisa, 20 years old. I have done a complete blood count and my MPV value came out as 13.8, PDW 20.5, and P-LCR 56.5%, while PLT 208. Is this something to worry about? The other results came out within normal limits. Thank you!

Sent by Denisa, më 11 December 2019 në 04:23

Hello Denisa, your peripheral blood analysis is normal

Replay from Dr. Shk. Sotiraq Lako, më 11 December 2019 në 08:30

Hello doctor, I hope you are well. I am Denisa, 20 years old. I have had a complete blood test and my MPV value is 13.8, pdw 20.5, and P-LCR 56.5% while PLT is 208. Is there anything to worry about? The other results have come back within the normal range. Thank you!

Sent by Denisa, më 11 December 2019 në 04:26

Hello Denisa, your peripheral blood analysis is normal

Replay from Dr. Shk. Sotiraq Lako, më 11 December 2019 në 08:30

Hello Denisa, your peripheral blood analysis is normal

Replay from Dr. Shk. Sotiraq Lako, më 11 December 2019 në 08:30

Hello Doctor, I hope you are well. I am Kostandina, 65 years old, a type 2 diabetic, treated with pills. I have done some tests and some of the indicators have fluctuations from the normal values. The values are as follows:
WBC - 7.85
RBC - 4.73
HCT - 37.6
HGB - 12.5
MCV - 79.5
MCH - 26.4
MCHC - 33.2
PLT - 245
ESR - 21
Please, could you assess my condition to see if I need medication or not. Thank you!

Sent by kostandina , më 13 December 2019 në 10:21

Hello Kosntadian, currently all parameters are within normal values

Replay from Dr. Shk. Sotiraq Lako, më 14 December 2019 në 10:13

Hello doctor. I am 25 years old and have been anemic for a while. Ferritin 3.74 ng/mL. Erythrocyte sedimentation rate 9 mm/hour. Currently, I am taking 1 ampule of iron supplement per day and one sachet of heferol per day. What do you suggest?

Sent by Armina Berberi, më 13 December 2019 në 15:30

Hello Armina, the medical dose is 180-200 mg of elemental iron per day, so you will take 2 capsules of Heferol and there is no need for Tothema. If you have only low ferritin, for at least 2 months in a row

Replay from Dr. Shk. Sotiraq Lako, më 14 December 2019 në 10:12

Hello doctor, I wanted to ask. I have thalassemia minor, can it happen that my iron levels drop too low or that my hemoglobin drops significantly?

Sent by Admir, më 18 December 2019 në 02:48

Hello Admir, I have written to you before. Thalassemia Minor is a mild, congenital anemia that never changes (meaning that hemoglobin does not increase or decrease). It does not require any treatment because it does not respond to any treatment. If there are changes in the hemoglobin value, other elements have been added, for which you should consult a hematologist for evaluation and treatment

Replay from Dr. Shk. Sotiraq Lako, më 18 December 2019 në 09:30

Hello doctor, I wanted to ask. I have thalassemia minor, can it happen that my iron drops too low or my hemoglobin drops significantly?

Sent by Admir, më 18 December 2019 në 02:48

Hello Admir, I have written to you before. Thalassemia Minor is a mild, congenital anemia that never changes (meaning the hemoglobin level does not increase or decrease). It does not require any medication as it does not respond to any treatment. If there are changes in the hemoglobin value, other elements have been added, for which you should consult a hematologist for assessment and treatment

Replay from Dr. Shk. Sotiraq Lako, më 18 December 2019 në 09:30

Hello esteemed doctor!
I have a big problem. I've been experiencing a very unpleasant smell under my armpits for some time.
I'm a smoker, I don't drink coffee or alcohol.
What do you suggest I do for treatment or what kind of analysis should be done if you could help me I would be very grateful.
I am 50 years old.
I live in MACEDONIA

Sent by besnik, më 24 December 2019 në 16:39

Hello Besnik, this is a problem that you need to discuss with a dermatologist

Replay from Dr. Shk. Sotiraq Lako, më 25 December 2019 në 02:55

Hello doctor.
I wanted to ask you about a problem.
Two months ago, my son had a ferritin level of 19.21 and after consulting with you, I used ironorm for 2 months straight, three capsules a day, and now, having checked his ferritin again, it came out to 65.1. I don't know if he should continue taking the medicine?
I also did a complete blood test and some values came out a bit different from the norm, I will write them down and you tell me if there is a problem and what should I do?
RBC 6.27, MCV 67.5, MCH 23.2, RDW-CV 14.8, PTC 0.313%. The other values are within normal limits. HGB 14.6. I should mention he is 16 years old, weighs about 75 kg. He has minor congenital anemia. This is from the electrophoresis I had done. Please tell me how the analyses look and if he still needs iron? Thank you very much!

Sent by Anila , më 28 December 2019 në 05:51

Hello Anila, currently the value is good. You can stop the medication and after 6 months, recheck the ferritinemia

Replay from Dr. Shk. Sotiraq Lako, më 28 December 2019 në 06:27

Hello, Doctor. After many analyses and troubles through doctors, from an analysis of my 75-year-old father's myelogram, 24% plasma cells were found. And they told us that the situation is alarming and how we should act. Thank you if you can guide us on what we can do urgently

Sent by Arben, më 29 December 2019 në 16:35

Hello Arbeni, we discussed the case

Replay from Dr. Shk. Sotiraq Lako, më 30 December 2019 në 06:42

Hello Dr, I am 23 years old, from an ASLO test I got a result of 173. What do you suggest?

Sent by Entela, më 30 December 2019 në 13:27

Hello Entela, it is an analysis that you will discuss with the ENT doctor

Replay from Dr. Shk. Sotiraq Lako, më 31 December 2019 në 05:11

Hello doctor, thank you for your response. I wanted to ask another question because I live in the Canadian state of Alberta and I have anxiety and depression, do these affect the decrease in hemoglobin levels? Thank you

Sent by Admir, më 04 January 2020 në 02:50

Hello Admir, the decrease in hemoglobin does not cause depression and neither does depression cause the decrease in hemoglobin

Replay from Dr. Shk. Sotiraq Lako, më 04 January 2020 në 05:12

Doctor, hello!
I have been treated for anemia for two months since I had Hb 10.8, ferritin 20, and leukocytes 6600. After two months, I did the tests again to see the improvement and it turned out Hb 11.4 while leukocytes 7500.
I am worried about the increase in leukocytes, why could this have happened since the doctor told me it is nothing worrying?
Two weeks ago, I had joint and muscle pain, after two weeks it went away, now it returned again, I also have a little vaginal infection.
I emphasize that I am 22 years old.
Is this increase problematic or not?
The leukocyte formula was within the norms only monocytes I had at the maximum limit.
What do you recommend for these concerns, doctor?
Thank you

Sent by Era, më 10 January 2020 në 07:51

Hello Era, leukocytes 7,500 mm3 are normal (4,000 - 10,800 mm3). You are worried that the anemia has not been corrected, probably you have not received the proper medication

Replay from Dr. Shk. Sotiraq Lako, më 11 January 2020 në 12:53

Hello doctor, my sister's 2-month-old child has been diagnosed with spherocytosis. Both parents were tested and came out negative for spherocytosis, how is it possible that the child is suffering if this is a hereditary disease??? And I wanted to know if there is improvement in the coming years and how the child's treatment can be done

Sent by fabiola, më 10 January 2020 në 12:19

Hello Fabiola, Hereditary Spherocytosis is an inherited disease, with clinical and laboratory manifestations of varying degrees. If the diagnosis was made in Albania, it certainly was not a genetic diagnosis, but simply based on phenotypic analyses such as blood tests, osmotic fragility test, which are analyses with significant subjectivity

Replay from Dr. Shk. Sotiraq Lako, më 11 January 2020 në 13:00

Hello doctor. My nearly two-month-old son was diagnosed with hereditary spherocytosis here in England after he had jaundice at birth which lasted for a long time. When I brought him in for a blood test, his hemoglobin had dropped to 50...after tests, it was said that he has spherocytosis. Neither my husband nor I have this disease. The doctors here tell me he might be the first one to have this disease. He had a blood transfusion and his hemoglobin went from 50 to 80...after a week, we returned to the hospital and the test showed that his hemoglobin had dropped again to 60. Today he had another blood transfusion. The ultrasound showed his spleen was slightly enlarged. I wanted to know if you have treated any other cases like my son's? What do you recommend, I am desperate when I see him poked with needles. How is it possible that his hemoglobin drops so quickly and will he need to have transfusions this often??? And if I have more children, are they at risk of this disease? Please help me with an opinion, I am very far from Albania. Currently, I am also giving him 5.8 ml of folic acid a day. Is my baby's life at risk from this disease?

Sent by Jona, më 10 January 2020 në 21:05

Hello Jona, has the diagnosis been confirmed with genetic testing? And you have had genetic testing. If all are confirmed with genetic testing, it might be a case of de novo genetic mutation, meaning it occurs only in the child. The fact that hemoglobin is dropping indicates that the spleen is destroying more red blood cells than necessary. But it's not the spleen's fault, rather the fault of defects in the red blood cells' membrane. When the need for blood transfusions is frequent, removing the spleen is the best option. It does not affect the genetic changes, but it removes the place where the red blood cells are destroyed. Until the age of 5-6 years, removing the spleen is not indicated due to the increased risk of infections. Folic Acid is helpful. The doctors who follow this age group are pediatric hematologists and I am for adults

Replay from Dr. Shk. Sotiraq Lako, më 11 January 2020 në 13:08

Hello Doctor. I have done the blood tests, besides what I believe are normal values... what caught my attention was the Eosinophils at 10%. Waiting for a response...thank you

Sent by Radola, më 26 January 2020 në 16:22

Hello Radola, they are slightly enlarged. Initially, parasites and possible allergies are assessed

Replay from Dr. Shk. Sotiraq Lako, më 28 January 2020 në 05:53

Hello Dr. Sotiraq,
After a month of treatment with Oviron 3 x 1 capsules/day, I did the tests and these were the results: hb 13.2, rbc 4,840,000, sedimentation 15, wbc 7,400, ferritin 27.07 and serum iron 106. Given these results, should I continue the iron treatment, and if so, how many capsules per day should I take? Thank you in advance. Orsjola

Sent by Orsjola, më 28 January 2020 në 02:03

Hello Orsola, ferritin should be around 60 ng/ml. Continue with the current treatment for another month

Replay from Dr. Shk. Sotiraq Lako, më 28 January 2020 në 05:52

Doctor, hello
I wanted to ask a question that might be a bit off-topic.
I took a vitamin D test because I had muscle and bone (joint) pain, and the result was 16.23 ng/ml. All other tests, including complete blood count, biochemical analysis, and rheumatoid factor, were within normal limits. Can this vitamin D value cause the symptoms I am experiencing, or should I look elsewhere?
Thank you

Sent by Ana, më 28 January 2020 në 18:20

Hello Ana, this can also be discussed with the Endocrinologist or Rheumatologist

Replay from Dr. Shk. Sotiraq Lako, më 29 January 2020 në 06:58

Hello, doctor!
My husband has some concerns like headaches, dizziness, arrhythmia, and occasional breathing difficulties. His blood pressure ranges from 11 over 7 to 13 over 8. He did some tests and the results are as follows:
WBC 5.6, RBC 5.58, HGB 11.1, HTC 37.2, PLT 324, PCT 295, MCV 67, MCH 19.9, MCHC 29.8, RDW 12.0, MPV 9.1, PDW 16.1, sediment 6.
Ferritin 47.4. Glucose 85
In the urine analysis, only bacteria were found. Other values are normal. He had surgery for varicose veins 8 years ago. He has minor congenital anemia. He had a cold, and during the time he was taking davigson injections, his blood pressure went up to 18. His problem is that he occasionally has headaches and dizziness while his blood pressure does not go above 13. He is 55 years old and weighs 78 kg. I don't know what the parameters of the tests are and what can be done? Please forgive me

Sent by Nila, më 29 January 2020 në 07:26

Hello Nila, the blood tests only confirm Thalassemia Minor and do not justify any complaints

Replay from Dr. Shk. Sotiraq Lako, më 30 January 2020 në 04:19

Hello Doctor, I have done the hormonal tests and the values are as follows: T4 118.8 and TSH 6.53. I wish to know if the TSH value is too high, thank you

Sent by Jehona, më 29 January 2020 në 12:50

Hello Jehona, you will discuss with the Endocrinologist doctor

Replay from Dr. Shk. Sotiraq Lako, më 30 January 2020 në 04:20

Hello doctor, I have done the tests and these are the results:
WBC-7.8 RBC-4.57 HGB-14.1 HCT-0.415 MCV-90.9 MCH-30.9 MCHC-33.9 RDW SD-41.8 RDW CV-0.108 PLT-255 MPV-9.8 PDW-16.3 PCT-2.50 ferritin 20.3
Do I need medication?

Sent by Ornela, më 02 February 2020 në 11:03

Hello Ornela, the complete blood count is normal, theoretically and ferritinemia, but the optimal value for females is about 60 ng/ml. For 2 months, I would prescribe iron medication with a therapeutic dose

Replay from Dr. Shk. Sotiraq Lako, më 03 February 2020 në 05:57

Hello doctor, I have done the tests and these are the results:
WBC-7.8 RBC-4.57 HGB-14.1 HCT-0.415 MCV-90.9 MCH-30.9 MCHC-33.9 RDW SD-41.8 RDW CV-0.108 PLT-255 MPV-9.8 PDW-16.3 PCT-2.50 ferritin 20.3
Do I need medication?

Sent by Ornela, më 02 February 2020 në 13:03

Hello Ornela, the complete blood count is normal, theoretically and ferritinemia, but the optimal value for females is around 60 ng/ml. For 2 months, I would prescribe iron medication with a therapeutic dose

Replay from Dr. Shk. Sotiraq Lako, më 03 February 2020 në 05:57

Hello doctor,
I underwent iron therapy at the end of October since my iron stores were zero. In November, after leaving the hospital and taking Niferex 100 mg, which I stopped for some time and then restarted, my ferritin level is 155, but I have terrible joint pains for a week now. I also feel as if the marrow of my bones is aching. Should I be worried?

Sent by Albina, më 05 February 2020 në 16:52

Hello Albina, currently you have a normal ferritin level. It is not related to your complaints

Replay from Dr. Shk. Sotiraq Lako, më 08 February 2020 në 13:25

Hello doctor,
I underwent iron therapy at the end of October since my iron stores were zero. In November, my stores were 800 after leaving the hospital, and I was also taking Niferex 100 mg. I stopped for a while and then started again. At this moment, my ferritin level is 155, but I have terrible joint pain, and it's been a week. I also feel as if the bones are being pierced. Should I be concerned?

Sent by Albina, më 05 February 2020 në 17:23

Hello Albina, currently you have a normal ferritin level. It is not related to your complaints

Replay from Dr. Shk. Sotiraq Lako, më 08 February 2020 në 13:25

Hello doctor,
I underwent iron therapy at the end of October since my iron stores were zero. In November, after leaving the hospital and taking niferex 100 mg, which I stopped for a while and then started again, my ferritin level is 155, but I have terrible joint pain for a week now and also feel as if my bones are being stabbed. Should I be worried?

Sent by Albina, më 05 February 2020 në 23:56

Hello Albina, currently you have a normal value of ferritinemia. It is not related to your complaints

Replay from Dr. Shk. Sotiraq Lako, më 08 February 2020 në 13:25

Hello doctor. The blood tests of the 2-year-old girl are LYM 5.7, LYM% 64.6, GRA% 31.7, HGB 9.5, HCT 32.5, MCV 54.7, MCH 16.0, MCHC 29.2, RDW 17.6, the others are within the norms. Potassium 9.89 from 8.6-10.3, ferritin 138.0 from 7-150 for females and serum iron (iron) 27.6 from 50-170 for females. Is the girl anemic? I am from Vlora, I am not a carrier of thalassemia, but I do not know about my husband.
Thank you for your answer!

Sent by Simela, më 22 February 2020 në 07:16

Hello Simela, the girl probably has Thalassemia Minor. When she turns 4 years old, have her Hemoglobin electrophoresis done. Currently, your husband should do it

Replay from Dr. Shk. Sotiraq Lako, më 23 February 2020 në 10:09

Hello Dr. Lako, I apologize for the inconvenience. I am writing to you about my cousin who is 15 years old and has received these lab results. RBC 6.28..Hct 39..MCH 19...MCHC 30....RDW 33...PCT 0.37...total bilirubin 1.37..HBA 94.9..HBA2 5.1...serum iron 72..ferritin 60. What can you tell me? Or is it simply that she is a carrier of thalassemia and doesn't need any medication? Thank you

Sent by Ana, më 25 February 2020 në 13:47

Hello Ana, your cousin is a carrier of Thalassemia. Ferritinemia is normal. There is no need for medication

Replay from Dr. Shk. Sotiraq Lako, më 26 February 2020 në 05:44

It has also tested positive for the Helicobacter antigen in feces. Should treatment be started?

Sent by Ana, më 25 February 2020 në 14:31

For this problem, you will discuss with the gastroenterologist

Replay from Dr. Shk. Sotiraq Lako, më 26 February 2020 në 05:45

Hello, doctor! I have written to you before about my father who has been diagnosed with Myelodysplasia. His health condition is good, but after having the flu, due to the decrease in white blood cells to 2200, his mouth became sore. Can he take any vitamins for immunity? He usually takes B6 and folic acid. Please, what do you recommend?

Sent by Leda, më 27 February 2020 në 09:30

Hello Leda, I can use them

Replay from Dr. Shk. Sotiraq Lako, më 28 February 2020 në 06:36

Hello, when bilirubin in the blood is high, how is it treated, and who is the specialist doctor?

Sent by Ani, më 29 February 2020 në 09:27

Hello Ani, there are 3 phases: 1) Destruction of red blood cells more than necessary - here the hematologist acts 2) Improper elimination by the liver - here the hepatologist acts 3) Obstruction in the emptying of the bile - here the hepatologist and surgeon act

Replay from Dr. Shk. Sotiraq Lako, më 01 March 2020 në 03:09

Hello doctor! My 16-year-old son had a complete blood test because it was required for registration at the clinic. Hbc 9.11; Rbc 5.38%; Hgb 16.4%; Hct 44.5%; Mcv 82.7%; Mch 30.5%; Mchc 36.9%; Plt 237%; Neut 68.4%; Lymph 23.4%; Mono 6.6%; Eo 1.4%; Baso 0.2%; Please could you tell me if there is any issue? Thank you!

Sent by Leda, më 03 March 2020 në 09:37

Hello Leda, if Hgb is 16.4 gr/dl, the analysis is normal

Replay from Dr. Shk. Sotiraq Lako, më 06 March 2020 në 08:43

Hello. My father is 70 years old and is ill with chronic lymphocytic leukemia (CLL).
A year ago, when he found out about the illness, his white blood cell count was at 23.
Now, after a year, his test results are as follows:

WBC 69.2 MCV 94
RBC 4.17 MCH 32.0 pg
HGB 13.3 MCHC 33.9
HCT 39.4 % RDW 14.0 %
PLT 207 MPV 8.8
PCT 181 % PDW 16.6 %

WBC FLAGS: M2 G1 G3
LYM 84.8 H % LYM 58.6 H
MON 6.2 % MON 4.2 H
GRA 9 L % GRA 6.4

Three weeks ago, my father had the flu and was treated. I wanted to ask, doctor, is this increase in white blood cells concerning?
From your experience, how long can he stay in stage A and lead a normal life? How does this disease progress?

Sent by Eda Domi, më 05 March 2020 në 05:44

Hello Eda, the problem is difficult to clarify here. The analysis can be repeated, including LDH. Whether to stay at this stage or not is not predicted, it is monitored. And if treatment is decided upon, currently in Albania there are very good treatments for this disease

Replay from Dr. Shk. Sotiraq Lako, më 06 March 2020 në 08:46

Hello! I have a 16-year-old son and he did blood tests because they were required for him to continue at the gym. I wanted to know your opinion, please. Wbc 9.11; Rbc 5.38; Hgb 16.4; Hct 44.5; Mcv 82.7; Mch 32.5; Mchc 36.9; Plt 237; Pct 0.26; Rdw-Sd 37.2; Rdw.cv 12.4; Pct 0.26; Neut 68.4%; Lymph 23.4%; Mono 6.6%; Eo 1.4%; Baso 0.2%; Please, I await a response from you because sometimes he gets worried. Thank you!

Sent by Leda, më 05 March 2020 në 06:53

Hello Leda, normal analysis

Replay from Dr. Shk. Sotiraq Lako, më 06 March 2020 në 08:44

Hello Doctor! Thank you for always responding to every question I have had about my father's disease (Myelodysplasia). He was diagnosed 4 years ago. Are patients with this disease at risk from the Coronavirus? My father is 70 years old and is in good health. From the latest blood tests WBC-2.29; RBC-3.48; HGB-12.2. All others were within normal limits. I am worried and waiting for a response from you. Thank you and regards!

Sent by Ledi, më 19 March 2020 në 11:39

Hello Ledi, of course it poses a risk. But I think we have already been through this virus about a month ago

Replay from Dr. Shk. Sotiraq Lako, më 20 March 2020 në 08:41

Hello doctor, I wanted to ask you, since I have G6PD deficiency, are we at higher risk for COVID-19? Thank you

Sent by Kevin, më 23 March 2020 në 07:13

Hello Kevin, you have a mild G6PDH deficiency. As a rule, you will not have problems

Replay from Dr. Shk. Sotiraq Lako, më 23 March 2020 në 07:22

I thank you, doctor, for every response of yours. I follow you continuously and on FB.
In this situation we are going through, with all those things we are hearing, I wanted to ask you about my 70-year-old father who is in stage A with chronic leukemia. He doesn't go out at all, only my brother makes very rare outings to do the necessary shopping. Since I have heard that about 70% of the population might get affected, some without symptoms, how much is my father at risk under conditions of maximum care, since I say it would be fatal for him.
I thank you in advance

Sent by Eda Domi, më 27 March 2020 në 18:55

Hello Eda, your father has CLL. Given his age and illness, implementing all measures is absolutely necessary. No one knows, it might be that one of you has it, doesn't show symptoms, but is spreading the virus. There's a lot that is unknown. When the disease is not in an active phase, as in your father's case (Stage A according to Binet), and obviously, he is not receiving treatment at this stage, the chances are lower than a patient in a more advanced stage and on treatment

Replay from Dr. Shk. Sotiraq Lako, më 28 March 2020 në 14:28

Hello doc, yesterday I did some tests for my son, 30 years old. He has a temperature of 37.4. He is anxious that he has COVID-19. He smokes and drinks alcohol. I also did some blood tests, RBC 5.52, RDW 51.6, PDW 8.5, MPV 7.1. Please, could you explain these values to me? Thank you, stay well and healthy

Sent by Besa Dhrami, më 07 April 2020 në 02:45

Hello Besa, these parameters are normal. Covid-19 often causes a decrease in WBC, a decrease in lymphocytes, an increase in LDH, an increase in D-dimer, an increase in ferritinemia

Replay from Dr. Shk. Sotiraq Lako, më 10 April 2020 në 09:43

Doctor hello,
Thank you for finding the time to respond.
It's been almost 4 months that I have been having joint and bone pain (like burning or compressive pain) as if I also have pain when I touch my muscles. Two months ago, I did a series of tests recommended by the doctor: Rheumatoid factor, tests for organ function (kidney liver diabetes), calcium, vitamin D, CRP, complete blood, ferritin, thyroid ultrasound. Hb was 11.4 while ferritin was 20, the rest were within normal everything. What could be the cause of these pains and is it necessary to do any more specific tests?
Could it be from anxiety and stress since I was diagnosed with anxiety a few months ago (I had arm pain and tightness on the side of the heart, I also did an ultrasound for the heart)
Thank you

Sent by Dona, më 07 April 2020 në 13:06

Hello Dona, you have mild anemia, probably due to iron deficiency. Which needs to be treated. Iron deficiency causes weakness, fatigue, numbness of the limbs. As for the anxiety, you should discuss it with a psychiatrist

Replay from Dr. Shk. Sotiraq Lako, më 10 April 2020 në 09:42

Doctor, hello
I thank you for finding the time to respond.
For almost 4 months, I have been having joint and bone pain (like burning or pressing pain) as if I also feel pain when touching the muscles, sometimes I have stabbing pain in the spine as if it stops my breath. Two months ago, I did a series of tests recommended by the doctor: Rheumatoid factor, tests for organ function (kidney liver diabetes) calcium, vitamin D, CRP, complete blood, ferritin, thyroid ultrasound. Hb was 11.4, while ferritin was 20, everything else was within normal limits. What could be the cause of these pains, and is it necessary to do any more specific tests?
Could it be from anxiety and stress since I was diagnosed with anxiety a few months ago (I had arm pain and stabbing in the heart side, I also did an echo for the heart)?
Thank you

Sent by Dona, më 07 April 2020 në 13:14

Hello Dona, you have mild anemia, probably due to iron deficiency. It needs to be treated. Iron deficiency causes weakness, fatigue, numbness in the limbs. As for the anxiety, you should discuss it with a psychiatrist

Replay from Dr. Shk. Sotiraq Lako, më 10 April 2020 në 09:41

Hi doctor, how are you? Last night, I had some concerns, a facial muscle pain, a tension of 8/6. I went to the hospital, and when I arrived there, I was unconscious. They slapped me, injected me with adrenaline, and some other medications. What do you suggest I do, doctor? Thank you

Sent by Kristian, më 26 April 2020 në 06:14

Hello Kristian, you will discuss with cardiologist, neurologist. From the hematological side, you will only do ferritinemia and complete blood count

Replay from Dr. Shk. Sotiraq Lako, më 26 April 2020 në 06:59

Hello Kristian, you will discuss with cardiologists, neurologists. From the hematological side, you will only do ferritinemia and complete blood count

Replay from Dr. Shk. Sotiraq Lako, më 27 April 2020 në 05:04

Where is my charger because I can't find it, thanks!

Sent by Kristian, më 26 April 2020 në 11:46

Hello Kristian, you will discuss with cardiologists, neurologists. From the hematological side, you will only do ferritinemia and complete blood count

Replay from Dr. Shk. Sotiraq Lako, më 27 April 2020 në 05:04

Hello Kristian, you will discuss with cardiologist, neurologist doctors. From the hematological side, you will only do ferritinemia and complete blood count

Replay from Dr. Shk. Sotiraq Lako, më 15 May 2020 në 05:28

Hello esteemed doctor. I wanted to ask you about a part of the blood analysis I did today. WBC=6.8×10^3; RBC=5.48×10^6; HGB=16.3g/dl; HCT=42.4%; MCHC=38.4g/dl; erythrocyte sedimentation rate=10mm/h. Meanwhile, ferritin=207.9 ng/ml. Could I have polycythemia? I am 43 years old. Thank you, doctor

Sent by Hektor Mula, më 01 May 2020 në 08:01

Hello Hektor, the data you have presented is normal

Replay from Dr. Shk. Sotiraq Lako, më 02 May 2020 në 07:04

Hello!
I can't find the answer to my comment.
Thank you if you post it

Sent by Netilda Kadija, më 12 May 2020 në 21:28

Hello Netilda, your daughter has mild anemia, probably due to iron deficiency. It's a common problem and needs to be corrected with iron supplements. I don't treat children, but the principle is the same as for adults: 3 mg/kg weight for at least 3 consecutive months. The aim is to correct the anemia in 1 month and ferritinemia in 3 months. You will discuss with a pediatrician to choose the iron supplement and calculate it based on the child's weight. Similarly, the method of taking it

Replay from Dr. Shk. Sotiraq Lako, më 13 May 2020 në 03:32

Hello Netilda, your daughter has mild anemia, likely due to iron deficiency. It's a common problem and should be corrected with iron supplements. I don't treat children, but the principle is the same as for adults: 3 mg/kg weight for at least 3 months in a row. The goal is to correct the anemia in 1 month and ferritinemia in 3 months. You will discuss with a pediatrician to choose the iron supplement and calculate it based on the child's weight. Likewise, the method of taking it

Replay from Dr. Shk. Sotiraq Lako, më 13 May 2020 në 03:32

Thank you very much for the answer, Dr. Lako!

Sent by Netilda Kadija, më 13 May 2020 në 04:56

And I greet you

Replay from Dr. Shk. Sotiraq Lako, më 15 May 2020 në 05:26

Hello Dr. Lako. Sorry to bother you. I am a 26-year-old girl. After a routine blood check, these values came out slightly elevated: neutrophil% 46.1, lymphocyte% 43.3, mono% 8.4, hematocrit 34.4, MCV 80, MCHC 36.6, RDW-SD 34.7, ESR normal at 12. All other elements are in the normal range. Is there anything to worry about? Waiting for your response, thank you

Sent by Maria, më 15 May 2020 në 13:03

Hello, all these values you present are normal. What are the RBC and Hb values?

Replay from Dr. Shk. Sotiraq Lako, më 16 May 2020 në 05:32

RBC 4.30 and Hb 12.6 but I constantly feel tired maybe also because of the period now. But for my 32-year-old husband, only MCV came out as 78.2 and MCH 27.8, RBC 5.47, Hb 15.2, Mono% 8.8, and WBC 5.13 are they normal?

Sent by Maria, më 16 May 2020 në 07:16

Hello, the values you present are normal. Do ferritinemia. If it is < 20 ng/ml, it indicates iron deficiency and justifies fatigue

Replay from Dr. Shk. Sotiraq Lako, më 17 May 2020 në 02:35

Hello Dr. Lako, I congratulate you on your work and dedication. I have done the analyses and the ferritin is 7.72. A year ago, I took ferritin 600 mg for 3 months but now it has recurred again. What do you advise me? Thank you

Sent by Lizeta, më 26 May 2020 në 07:11

Hello Lizeta, ferritin is not a preparation for replenishing iron stores, moreover, after the end of the treatment, an evaluation of the response to the treatment must be made, to consider whether we are continuing with the previous problem, or it was corrected and now has recurred (thus the cause/causes remain active). Of course, you need to be treated again, as necessary

Replay from Dr. Shk. Sotiraq Lako, më 27 May 2020 në 02:13

Hello Dr. Lako, I congratulate you on your work and dedication, I have done the tests and the ferritin is 7.72, a year ago I took ferritin 600 mg for 3 months but now it has recurred again, what do you advise me? Thank you

Sent by Lizeta, më 26 May 2020 në 07:15

Hello Lizeta, ferritin is not a preparation for replenishing iron stores. Moreover, after the end of the treatment, it is necessary to assess the response to the medication, to consider whether we are continuing with the previous problem, or if it was corrected and now has recurred (i.e., the activity of the cause/causes continues). Of course, you need to be treated again, as appropriate

Replay from Dr. Shk. Sotiraq Lako, më 27 May 2020 në 02:13

Hello Dr. I would kindly ask you to give me a response as I need your advice. I am pregnant at the beginning of the 8th month, with my second child. I have congenital anemia and currently take Hemafer + folic acid, magnesium, and B12. I am worried because in the latest analyses HGB was 8.7, MCH 20.9, MCV 69.5, RDWs 49.2, HCT 28.8. Are these results concerning? What should I do? Thank you

Sent by Jeta, më 08 June 2020 në 04:10

Hello Jeta, I have replied to your email. You will undergo a ferritinemia test, and depending on the results, the need for iron supplements will be assessed. Hemafer is not a supplement that replenishes iron stores. During this period of pregnancy, inherited anemia, pregnancy-induced anemia, and possibly iron deficiency anemia are combined. Only the latter can be treated

Replay from Dr. Shk. Sotiraq Lako, më 09 June 2020 në 09:01

Hello Doctor, I am a patient with thalassemia minor, and during a routine checkup with an ultrasound, the doctor told me that I have an enlarged spleen. What does this specifically mean and how does the anemia affect it? Should I undergo any treatment? Thank you

Sent by Ida, më 15 June 2020 në 02:38

Hello Ida, Thalassemia Minor is not directly related to the liver. You will discuss with the hepatologist

Replay from Dr. Shk. Sotiraq Lako, më 15 June 2020 në 03:42

Hello!
After having my tests done, these are the results: RBC 5.20, HGB 10.9, HCT 35.1, MCV 67.5, MCH 21, MCHC 31.1, RDW 16.2. Are these results concerning and how should I proceed? I am 32 years old. Thank you

Sent by Mira, më 19 June 2020 në 07:11

Hello Mira, you have mild anemia. You need to do ferritinemia and hemoglobin electrophoresis. If ferritinemia < 20 ng/ml, it is considered iron deficiency anemia and you must be treated with iron preparations until the correction of the anemia and the iron deficiency itself. If it's Thalassemia Minor, it is not treated

Replay from Dr. Shk. Sotiraq Lako, më 21 June 2020 në 10:16

Hello doctor. With all due respect and trust that you will return a detailed answer. I have twin children, a boy and a girl, and they are 7 and a half years old. Three days ago, out of concern, I had their blood tests done. And the girl had a ferritin level of 131, we were told that it's slightly high and that we need to repeat it in two weeks, but for me, that is a bit too long, and I can't bear the thought that it might be something worrisome, her other blood tests were fine. As for the boy, his tests were fine, ferritin was 35.5. But we were told that he had an MCV of 76, we were told that it's slightly high and somewhat worrisome, but I didn't understand what that means. We were told to redo the tests. Please reply as soon as possible because I am very worried. I am from Saranda. Thank you very much

Sent by Erjola, më 21 June 2020 në 07:27

Hello Erjola, I am not sure about the accuracy of the analyses, but even if they are slightly elevated, they do not cause any problem at these levels. If possible, one day you could come here to Tirana, to the Central Laboratory of the American Hospital, near the old Maternity, we have a package that costs only 22 thousand old lek, and it includes complete blood work, ferritinemia, hemoglobin electrophoresis. These are tests that can be done at any hour of the day, they have nothing to do with being fasting, and are available on Saturdays and Sundays too, and are much more indicative. Ferritinemia increases also due to inflammation and is considered elevated when it is > 500 ng/ml and damage occurs when it is > 1,000 ng/ml and increased Transferrin Saturation

Replay from Dr. Shk. Sotiraq Lako, më 21 June 2020 në 10:05

Hello doctor. With all due respect and trust in you that you will return an accurate answer. I have twin children, a boy and a girl, and they are 7 and a half years old. Three days ago, out of concern, I had their blood tests done. And the girl had a ferritin level of 131, they told us it was a bit high and that we need to repeat it in two weeks, but for me, that's a bit of a long time and I can't bear it in case there's something worrying. Her other blood tests were fine. Meanwhile, the boy had good test results, ferritin 35.5. But they told us he had an MCV of 76, they said it was a bit high and somewhat concerning but I didn't understand what that means. They told us to redo the tests. Please reply as soon as possible because I am very worried. I am from Saranda. Thank you very much

Sent by Erjola, më 21 June 2020 në 07:30

Hello Erjola, I don't know the exact details of the analyses, but even if they are slightly elevated, they do not cause any problem at these levels. If possible, one day you could come here to Tirana, to the Central Laboratory of the American Hospital, near the old Maternity, we have a package that costs only 22,000 old Lek and it includes complete blood count, ferritin, and hemoglobin electrophoresis. These tests can be done at any time of the day, they are not related to being fasting, and are available on Saturdays and Sundays too, and provide a much better judgment. Ferritin can also increase due to inflammation and is considered elevated when it is > 500 ng/ml, and damage occurs when it is > 1,000 ng/ml and when there is increased Transferrin Saturation

Replay from Dr. Shk. Sotiraq Lako, më 21 June 2020 në 10:04

Hello. I am a 24-year-old girl and I overcame leukemia at the age of 6. My question is actually more related to gynecology, but I needed to address a hematologist as well. At the age of 6, I was diagnosed with leukemia, and I successfully overcame it after undergoing chemotherapy in Italy. I am worried because many materials I have read say that chemotherapy can cause infertility. I have only undergone chemotherapy and a blood transplant. I haven't undergone a bone marrow transplant or radiation therapy. Is it possible that the chemotherapy could have caused infertility? I have never had sexual intercourse, so I have never thought about the aspect of having children before, but this information worried me a lot. Please, what are your comments on this case? How likely is it that I am infertile?
Thank you in advance
Kristi

Sent by Kristi, më 26 June 2020 në 15:51

Hello Kristi, what matters is that currently 18 years have passed since the disease and you are practically classified as cured. Are you referring to a blood transplant? Blood transfusion? Yes, chemotherapy is one of the causes of infertility. But you have been through a lot of time. An endocrinologist can test your relevant hormones and in this way, your reproductive ability can be assessed. Likewise, the examination by a gynecologist, an ultrasound to assess the cyclic development of the egg in the ovaries will help you. Of course, the true indicator is when it comes time for you to practically aim for pregnancy. And if you do not achieve it, and this happens to many other women who have not been treated with these medications, today there are many reproductive options, so do not worry about this problem

Replay from Dr. Shk. Sotiraq Lako, më 27 June 2020 në 10:41

Hello. I am a 24-year-old girl and I overcame leukemia at the age of 6. My question is more related to gynecology, but I needed to address it to a hematologist as well. At the age of 6, I was diagnosed with leukemia, and I successfully overcame it after undergoing chemotherapy in Italy. I am worried because many materials I have read say that chemotherapy can cause infertility. I only underwent chemotherapy and a blood transplant. I did not have a bone marrow transplant or radiation therapy. Is it possible that chemotherapy could have caused infertility? I have never had sexual intercourse, so I have never thought about the aspect of having children before, but this information has greatly worried me. Please, what comment do you have on this case? How likely is it that I am infertile?
Thank you in advance
Kristi

Sent by Kristi, më 26 June 2020 në 16:03

Hello Kristi, what matters is that it has been 18 years since the illness, and you are practically classified as cured. Are you referring to a blood transplant? Blood transfusion? Yes, chemotherapy is one of the causes of infertility. But you have been through a lot of time. An endocrinologist can test your relevant hormones, and in this way, your reproductive capacity can be evaluated. Similarly, an examination by a gynecologist, and an ultrasound to assess the cyclical development of the egg in the ovaries will help you. Of course, the true indicator is when the time comes for you to practically aim for pregnancy. And if you do not achieve this, and this also happens to many other women who have not been treated with these therapies, today there are many reproductive options, so do not worry about this problem

Replay from Dr. Shk. Sotiraq Lako, më 27 June 2020 në 10:41

I have the impression that you are a capable doctor. What do these results show? RBC-7.44 and HCT-65, I am very worried

Sent by ibadete, më 07 July 2020 në 15:59

Hello Ibadete, they are values to be concerned about. The blood analysis should be comprehensive, and you will be directed to a hematologist

Replay from Dr. Shk. Sotiraq Lako, më 10 July 2020 në 10:26

Hello! Thank you, doctor, for the opportunity you give us to get advice! I am 54 years old! In the tests I had 2 months ago, my PLT was 320, while my total Cholesterol was 244, Triglycerides 256. In the current tests, PLT is 398, Total Cholesterol 220, and Triglycerides 190. Please, can you tell me why PLT might increase, at a time when triglycerides and cholesterol have decreased??..Could there be other reasons since I have a problem with thrombocytes, the increase of which has caused damage to my eye. Thank you! Linda!

Sent by Linda, më 15 July 2020 në 07:54

Hello Linda, the platelets are fluctuating, their rate is 144-444,000 mm3 and you are always within normal values. For the regulation of fats, you will discuss with an endocrinologist or cardiologist

Replay from Dr. Shk. Sotiraq Lako, më 15 July 2020 në 08:44

Dear doctor. You are very kind for listening to our problems. My daughter is pregnant and her blood tests showed 13,000 leukocytes. Should she be worried?

Sent by Mira, më 03 Agust 2020 në 09:10

Hello Mira. During pregnancy, there is an increase in white blood cells and this is normal. The current value is not worrisome

Replay from Dr. Shk. Sotiraq Lako, më 03 Agust 2020 në 09:32

Hello doctor, I am 23 years old. I've had a ferritin iron analysis which showed 4.87 ng/ml. Should I do another analysis? I emphasize that I have been suffering from hair loss and breakage for 5 years, I have taken various vitamins for hair but without results, what should I do please? The symptoms I have are fatigue, breakage, irritation. I congratulate you on your work, thank you

Sent by Denisa, më 15 Agust 2020 në 16:39

Hello Denisa, you have an iron deficiency which is one of the reasons why hair falls out. You need to have a complete blood count to see whether or not you have anemia. If you do not have anemia (Hb>12 gr/dl), you will be treated for 2 months with Heferol 350 mg 2 x 1 capsule/day + Vitamin C 100 mg 2 x 1 tablet/day, if you also have anemia, for at least 3 consecutive months and at the end of the treatment, the tests will be rechecked

Replay from Dr. Shk. Sotiraq Lako, më 17 Agust 2020 në 02:42

Hello doctor, I am 23 years old. I have done an iron ferritin analysis, and it came out as 4.87 ng/ml. Do I need to do another analysis? I emphasize that I have been suffering from hair loss and breakage for 5 years. I have taken various vitamins for hair, but without result. What should I do, please? The symptoms I have are fatigue, breakage, irritation. I congratulate you on your work. Thank you

Sent by Denisa, më 16 Agust 2020 në 05:53

Hello Denisa, you have an iron deficiency which is one of the reasons why hair falls out. You need to also have a complete blood count, to see whether or not you have anemia. If you don't have anemia (Hb>12 gr/dl), you will be treated for 2 months with Heferol 350 mg 2 x 1 capsule/day + Vitamin C 100 mg 2 x 1 tablet/day, if you also have anemia, for at least 3 consecutive months and at the end of the treatment, the analyses will be rechecked

Replay from Dr. Shk. Sotiraq Lako, më 17 Agust 2020 në 02:42

Hello Dr. Sotiraqi, as an experienced doctor, I want to write to you about a problem with my 3-year-old son. After conducting tests, it turns out that he has low platelets, down to 10,000. After receiving treatment at the pediatric hospital for 10 days, his platelet count increased to 65,000, and he was discharged from the hospital. After 2 days of being home, his hand, where the IV had been, became infected, and he started having a fever. I immediately took him back to the hospital, and he was admitted again. However, after tests conducted 3 days later, his platelet count had dropped again to 30,000. I am desperate as my son is in a serious condition; please, I need your help. Also, how can I contact you? Thank you. Tel. No. 0685160112

Sent by Altin Kolaveri, më 17 Agust 2020 në 08:15

Hello Mr. Altini, we spoke on the phone

Replay from Dr. Shk. Sotiraq Lako, më 18 Agust 2020 në 10:53

Hello doctor, I hope you are well!
My husband has done his blood tests: WBC 9.43, RBC 5.09, HGB 13, HCT 34.4, MCV 67.6, MCH 25.5, MCHC 37.7, MPV 6.4, LYMPHOCYTES 17.3. FERRITIN 111. Hemoglobin electrophoresis HB A 96.2 AND HB A2 3.8.
He experiences fatigue and weakness. Please doctor, what can you advise me?
Thank you

Sent by Mirel, më 17 Agust 2020 në 09:38

Hello Mirel, we discussed today

Replay from Dr. Shk. Sotiraq Lako, më 18 Agust 2020 në 10:54

Hello Doctor and further success in your work as until now... I take this opportunity to write to you considering the situation we are in... Please, if you can, tell me with what medication I can replace aspirin as a blood thinner... because aspirin causes me allergies..

Sent by Artut, më 21 Agust 2020 në 11:35

Hello Artur, first of all, why do you take aspirin? Often, people drink it because they have heard so, or discussed with friends. If a doctor has advised you and if all types of aspirins used as "blood thinners" give you an allergy, Plavix, Dipyridamole can be discussed

Replay from Dr. Shk. Sotiraq Lako, më 22 Agust 2020 në 02:48

Hello and many successes in your sacred work....given the current situation..I wanted to ask you a question about what medication can replace aspirin as a blood thinner because taking aspirin causes me allergies..thank you and good luck with your work

Sent by Artur, më 21 Agust 2020 në 18:03

Hello Artur, first of all, why do you take aspirin? Often people drink it because they have heard so, or discussed with friends. If your doctor has advised you and if all types of aspirins used as "blood thinners" give you an allergy, Plavix, Dipyridamole can be discussed

Replay from Dr. Shk. Sotiraq Lako, më 22 Agust 2020 në 02:48

Hello, Dr. Lako. I am 25 years old, 41 kg, and I have been feeling tired, dizzy, and very worn out for several days. After some tests, my ferritin is 11.4 ng/ml... Hb 11.6... MCV 87.3, MCH 28.7, RBC 4.04, RDW-CV 11.0, RDW-SD 36.8. Should I take iron supplements? Waiting for your response, thank you

Sent by Ana, më 29 Agust 2020 në 07:39

Hello Ana, you have mild Anemia, due to iron deficiency. For 3 consecutive months, you will take Ironorm 2 x 1 capsules/day. After 1 month, a complete blood recheck and after 3 months of treatment, a complete blood check and ferritinemia

Replay from Dr. Shk. Sotiraq Lako, më 29 Agust 2020 në 13:03

Hello Ana, you have mild Anemia due to iron deficiency. For 3 consecutive months, you will take Ironorm 2 x 1 capsules/day. After 1 month, a complete blood recheck and after 3 months of treatment, a complete blood test and ferritinemia

Replay from Dr. Shk. Sotiraq Lako, më 29 Agust 2020 në 13:03

Hello Doctor,
I wanted to know if through general blood tests, can we understand if we have a breast tumor? If yes, which indicator of the tests should I understand it from?
Thank you!

Sent by Ada, më 10 September 2020 në 05:27

Hello Ada, there are tumor markers, but you should discuss with the oncologist

Replay from Dr. Shk. Sotiraq Lako, më 10 September 2020 në 05:44

Hello doctor! I have been feeling powerless for over 2 weeks now! I did a complete blood test and the results are as follows;

WBC 7.01
RBC 4.07
HGB 12.3
HCT 33.6
MCV 82.6
MCH 30.2
MCHC 36.6
PLT 563
RDW-SD 37.0
RDW-CV 12.5
PDW 10.9
MPV 10.4
P-LCR 26.4
PCT 0.58
NEUT 4.34 62.0%
LYMPH 2.5 29.2%
MONO 0.48 6.8%
EO 0.11 1.6%
BASO 0.03 0.4%
ERYTHROSEDIMENTATION 20 mm/h

Fibrinogen 317
Triglycerides 81
Total Cholesterol 236
HDL 44
LDL 176

Please advise me on what I should do!

Sent by Leda, më 10 September 2020 në 14:19

Hello Leda, you have only a slight increase in cholesterol that is not related to fatigue. You have a slight increase in platelets, which could also come from a lack of iron, the latter can cause fatigue. Do a Ferritinemia

Replay from Dr. Shk. Sotiraq Lako, më 12 September 2020 në 03:21

Hello doctor. I did the tests and my ferritin came out 8.15 while HGB 13.3g/dl and MCHC 316 g/l. A relative recommended me a medicine from Italy Ferro-Grad Ferrous Sulfate 105mg. Can I use it by taking one tablet a day? Thank you

Sent by Alketa, më 14 September 2020 në 13:43

Hello Alketa, you have an iron deficiency. Ferrograd is a very good preparation. 2 x tablets/day, for 2 consecutive months and then check ferritinemia again

Replay from Dr. Shk. Sotiraq Lako, më 15 September 2020 në 03:49

Hello doctor! I thank you from the heart for responding to our concerns! A few days ago, I wrote to you about a problem... (I have been feeling powerless for more than 2 weeks! I did a complete blood test and the results are these; WBC 7.01 RBC 4.07 HGB 12.3 HCT 33.6 MCV 82.6 MCH 30.2 MCHC 36.6 PLT 563 RDW-SD 37.0 RDWCV 12.5 PDW 10.9 MPV 10.4 P-LCR 26.4 PCT 0.58 NEUT 4.34 62.0% LYMPH 2.5 29.2% MONO 0.48 6.8% EO 0.11 1.6% BASO 0.03 0.4% ERYTHROCYTE SEDIMENTATION RATE 20 mm/h Fibrinogen 317 Triglycerides 81 Total Cholesterol 236 HDL 44 LDL 176). You suggested that I do a Ferritin analysis. I did it and it came out to 15.8 ng/ml. And LDH 155 U/l. Can you please tell me what medication to take? Thank you and regards!

Sent by Leda, më 15 September 2020 në 10:09

Hello Leda, you have an iron deficiency (ferritinemia < 20 ng/ml). For 2 months you will take: 1-Heferol 350 mg 2 x 1 capsule/day – 60 capsules/month. 2-Vitamin C 100 mg 2 x 1 tablet/day – 60 tablets/month, during or after meals

Replay from Dr. Shk. Sotiraq Lako, më 16 September 2020 në 08:55

Hello, doctor! I had a routine ultrasound and the doctor told me that my spleen is slightly enlarged at 13.7. I am 58 years old. I don't feel the enlargement. What do you recommend I do? Thank you!

Sent by Femi, më 30 September 2020 në 12:24

Hello Femi, it often happens that an increase in the spleen size is observed in ultrasound. The dimensions are such that they do not cause concerns. It is evaluated to discover or exclude various reasons for its occurrence

Replay from Dr. Shk. Sotiraq Lako, më 02 October 2020 në 06:43

Hello. I wanted to ask about my father who is 66 years old. He has had several tests like complete blood count, biochemical tests and all results came back normal, except for fibrinogen which had a value of 489 and ESR 33. My father is diabetic, has one kidney, and is overweight. Is this fibrinogen and ESR value concerning?

Sent by Ana, më 03 October 2020 në 11:19

Hello Ana, the values are normal. Fibrinogen is an indicator of inflammation, and obesity and diabetes are chronic inflammations. The erythrocyte sedimentation rate is calculated according to age and gender, and for males, it is age/2 = 33 mm/h

Replay from Dr. Shk. Sotiraq Lako, më 05 October 2020 në 06:52

Hi Dr. Lako. A month ago, I wrote to you that I had a hemoglobin level of 11.4 and a ferritin level of 11.6. You advised me to take ironorm 2×1 and to measure my hemoglobin again after a month. Today, I got my hemoglobin and ferritin levels measured, and they turned out to be 12.1 for hemoglobin and 103.4 for ferritin. Should I continue the treatment?

Sent by Ana, më 12 October 2020 në 09:20

Hello Ana, it is impossible to correct ferritinemia at such levels with 1 month of treatment, Ironorm 2 x 1 capsule/day. I do not recommend Ironorm 2 x 1 per day, the therapeutic dose for adults is 3 x 1 capsule/day. Retest the ferritinemia

Replay from Dr. Shk. Sotiraq Lako, më 12 October 2020 në 09:31

Hello Dr. Lako. A month ago, I wrote to you that I had hemoglobin (hb) 11.4 and ferritin 11.6. You advised me to take ironorm 2×1 and told me to measure hb again after a month. Today, I measured hb and ferritin and got hb 12.1 and ferritin 103.4. Should I continue the medication?

Sent by Ana, më 12 October 2020 në 12:00

Hello Ana, it is impossible to correct ferritinemia at such levels with 1 month of medication, Ironorm 2 x 1 capsule/day. I do not recommend Ironorm 2 x 1 per day, the therapeutic dose for adults is 3 x 1 capsule/day. Retest the ferritinemia

Replay from Dr. Shk. Sotiraq Lako, më 13 October 2020 në 09:20

Hello doctor! I did a lipid profile test and the results came out to be 400. What do you recommend, please? It's been days that it's bothering me along with high blood pressure. Thank you!

Sent by Enkelejda, më 05 November 2020 në 08:06

Hello Enkelejda, regarding both concerns, you will discuss with the cardiologist

Replay from Dr. Shk. Sotiraq Lako, më 06 November 2020 në 08:31

Hello doctor, I am Denisa, 23 years old. Three months ago, you advised me to take heferol twice a day because my iron was at 4. Now, after the treatment, I did the analysis and the ferritin result came out as 79/87 ng/ml. Should I continue it again because it's been 3 days after the treatment and I feel tired as soon as I stopped it, and my hair has started to look a bit better after experiencing significant loss. Thank you, all the best, I await your response

Sent by Denisa, më 10 November 2020 në 16:18

Hello Denisa, the optimal value of ferritin in women is 60-70 ng/ml and you have achieved this goal. The treatment is not continued any further, as no more iron is absorbed. Treatment is resumed when ferritin falls below 20 ng/ml

Replay from Dr. Shk. Sotiraq Lako, më 11 November 2020 në 05:50

Hello doctor, I am Denisa, 23 years old. Three months ago, you advised me to take heferol twice a day since my iron was 4. Now, after treatment, I did the analysis and the ferritin level came out to be 79/87 ng/ml. Should I continue it again since 3 days after the treatment I feel tired as soon as I stopped and my hair has started to look slightly better after a significant loss. Thank you, all the best, I await your response

Sent by Denisa, më 10 November 2020 në 16:23

Hello Denisa, the optimal value of ferritinemia in females is 60-70 ng/ml, and you have reached this goal. Treatment is not continued any further, as no more iron is absorbed. Treatment is resumed when ferritinemia drops below 20 ng/ml

Replay from Dr. Shk. Sotiraq Lako, më 11 November 2020 në 05:50

Doctor, hello! I had a blood test because I was asked to during this flu season as I might have had COVID. The tests related to the flu were okay, but some values were slightly above the norm. WBC 4.75 (RBC 6.09 HGB 17.8 HCT 51.2 PLT 234. I don't smoke. I have been going to the gym for 2 years, and until two weeks before the test, I have been using a Mass tech protein powder supplement, which is mixed with milk for muscle mass and calorie increase but in a smaller usage amount, for the last two months. Could this be the reason for the increased values? Or is there something else I should be worried about? Thank you

Sent by Erion , më 22 November 2020 në 11:43

Hello Erion, a single analysis is not enough to judge. Several of them are repeated over a 2-3 month period, and if the values are at such levels, it will be evaluated

Replay from Dr. Shk. Sotiraq Lako, më 23 November 2020 në 02:57

Doctor, hello! I did a blood test because I was asked during this flu season if I could have COVID. The tests related to the flu were okay. However, some values came out a bit above normal. WBC 4.75 (Rbc 6.09, Hgb 17.8, Hct 51.2, Plt 234). I do not smoke. I have been going to the gym for 2 years and until two weeks before doing the test, I used a Mass tech protein powder supplement for the last 2 months, which is mixed with milk to increase muscle mass and calories but in a smaller amount of usage. Could this be the cause of the increased values? Or is there something else I should be worried about? Thank you. Age 34 years old

Sent by Erion , më 22 November 2020 në 11:47

Hello Erion, a single analysis is not enough to judge. Repeat several of these over a 2-3 month period and if the values are at such levels, it will be evaluated

Replay from Dr. Shk. Sotiraq Lako, më 23 November 2020 në 02:58

Hello Doctor! I did a blood test because I was asked to during this flu season since I could have had COVID, the tests related to the flu were okay. However, some values came out a bit above normal. WBC 4.75 (RBC 6.09 HGB 17.8 HCT 51.2 PLT 234. I do not smoke. I have been attending the gym for 2 years and until two weeks before doing the analysis, for the last two months, I have used a Mass Tech protein powder supplement that is drunk with milk to increase muscle mass and calories but in a smaller amount of usage. Could this be the cause of the increased values? Or something else that should worry me? Thank you. Age 34 years old

Sent by Erion , më 22 November 2020 në 14:50

Hello Erion, a single analysis is not enough to judge. Repeat several such over a 2-3 month period and if the values are at such levels, it will be evaluated

Replay from Dr. Shk. Sotiraq Lako, më 23 November 2020 në 02:58

Hello Doctor! I wanted to ask, I am 39 years old. For 10 years in the blood analysis, I have had lymphocytes above normal.
Lym% 57 high
Neut% 32 low
Everything else is normal. I don't suffer from any disease, at least to my knowledge. This value of lymphocytes varies from analysis to analysis 46 49 51 59 max.
Should any further analysis or examination be conducted, and is it something to worry about?
Thank you

Sent by Bledjon Duraj, më 25 November 2020 në 08:52

Hello Bledjon, the minimum that is done are LDH and leukocyte formula under the microscope by the specialist doctor

Replay from Dr. Shk. Sotiraq Lako, më 26 November 2020 në 06:54

Hello Dr. Sotiraq! I have done the blood tests for my daughter and I am concerned about some values that are outside the normal ranges like Neu 57.2, Lym 30.1, mono 7.3, baso 0.3, eos 5.1, eos 0.49, rdw-cv 34.9, pct 0.4, esr 57, and pcr 12.55. The rest are within normal ranges. The child has had a fever for 2 weeks. I am waiting for a response from you as I am very worried. Thank you, Orsjola

Sent by Orsjola Memaj, më 25 November 2020 në 11:40

Hello Orsjola, the only altered analysis is the PCR. It might be related to the pathology that has occurred. The others are normal

Replay from Dr. Shk. Sotiraq Lako, më 26 November 2020 në 06:56

Hello doctor, ERYTHROCYTE SEDIMENTATION RATE (ESR) 57 and CRP (C-Reactive Protein) 12.55 DO NOT indicate an infection because they are quite above the norm, (from the analysis references)
Thank you

Sent by Orsjola, më 01 December 2020 në 07:07

Hello Orsjola, the values are increased, one of the reasons for the increase are infections

Replay from Dr. Shk. Sotiraq Lako, më 04 December 2020 në 03:54

Hello doctor! My father has tested positive for covid19. Meanwhile, Pcr=4.53, d dimers=0.395. At a glance, these results seem to be within the normal range, but what concerns me is the ferritin level =345.7. Is this very harmful to the body? What treatment can I take to lower ferritin? Thank you

Sent by Brisi, më 10 December 2020 në 08:19

Hello Brisi, it is a value within the normal range. It is considered elevated > 500 ng/ml and up to 1000 ng/ml, it is considered a mild increase. Ferritinemia is not only an indirect indicator of iron reserves, but also of inflammation. There is no harm to the organism

Replay from Dr. Shk. Sotiraq Lako, më 11 December 2020 në 09:39

Hello Dr. Sotiraq,
First of all, I have great respect for your work.
In April 2019, I had a visit with you for my anemia problem which I've had for several years, and you recommended Ferretab 152mg, vitamin C, B6, folic acid for 2 months. After taking them for 2 months, my values returned to normal with ferritin=20 and Hgb=12.8, and the Electrophoresis analysis in your lab came out OK. Currently, after 1.5 years, in a check of the parameters again, I have very low levels of Ferritin=4.7 and Hgb= 10.8. Since I need to restart iron, in the absence of Ferretab which I cannot buy in Albania, could you recommend a substitute medication? For how long? Thank you very much

Sent by Julia, më 12 December 2020 në 13:29

Hello Julia, this is not a preparation that I use. If you got it in Italy, it probably was Ferrograd 105 mg. Currently, you have mild Anemia from iron deficiency and can use Ironorm 3 x 1 capsules/day, for at least 3 consecutive months

Replay from Dr. Shk. Sotiraq Lako, më 13 December 2020 në 08:38

Hello Dr. Lako, I congratulate you for your work and dedication. I am Anita, 30 years old. I need your advice on the results of my tests:
Iron 9.7
Ferritin 11.8
Vit D 24.8
Erythrocytes 4.0
Hemoglobin 11.6
HCT 34.0
Leukocytes 3.8
Lymphocytes 1.0
Monocytes 0.2
PDW 16.5
PCT 0.06
If possible, an explanation from you on how to treat this. Thank you very much!

Sent by Anita, më 15 December 2020 në 16:48

Hello Anita, you have mild anemia, probably due to iron deficiency. You will take Ironorm 3 x 1 capsules/day – 90 capsules/month. Take it in the middle or after a meal, for at least 3 consecutive months.
The patient will be re-examined with a complete blood count after 1 month of treatment and after 3 months of treatment with a complete blood count + ferritin levels (the minimum value of ferritin in adult females is 20 ng/ml and the optimal value is around 60 ng/ml)

Replay from Dr. Shk. Sotiraq Lako, më 17 December 2020 në 08:51

Hello doctor! I congratulate you on your work. I need your help. My mother had her tests done and her CRP was 4.86 while her PCR was 1.49. From the blood tests, the erythrocyte sedimentation rate was 49. Her lungs were clear. She started injections today. Can you advise me on how the situation looks and how we should proceed? Thank you!

Sent by Enida, më 19 December 2020 në 11:16

Hello Enida, I don't know if your mother is infected with Coronavirus and has these tests, for which I believe she has started treatment with an anticoagulant. If she is in such a situation, you will continue the discussion with the pulmonologist or infectious disease specialist

Replay from Dr. Shk. Sotiraq Lako, më 21 December 2020 në 02:37

Hello dear! I thank you for the dedication you show to all of us who write to you. I would like your opinion.
About 3-4 months ago, I had a very severe weakness and anorexia and according to the analyses, it turned out that I had mild anemia somewhere HGB 11 and ferritin 20. The medication I took once and drank it occasionally because I had concerns and when I repeated the analyses ferritin had gone to 13 and HGB to 12.5. In my opinion, I used ferramax 100 1/day for a month, folic acid 400 mcg, and vitamin C. The results of the latest analyses HGB 13.6 ferritin 24, erythrocytes 4.5, HCT 39, all within the norm, vitamin D 15. The problem is that sometimes I have dizziness, fatigue, and standing. I am 28 years old (no children) I have never had concerns and I have always had a very regular cycle, except recently it has become 23-26 days from 28 that I had. Does this change affect my condition and should I continue the treatment I am doing? Thank you very much and sorry for the time we take :)

Sent by Jona, më 24 December 2020 në 06:46

Hello Jona, the hemoglobin values of 13.6 gr/dl and ferritin of 24 ng/ml do not justify the complaints. The minimum normal value of ferritin in females is 20 ng/ml and the optimal value is about 60 ng/ml. You may continue the treatment: Heferol 350 mg 2 x 1 capsule/day, plus Vitamin C 100 mg 2 x 1 tablet, per day, for at least 1 month with the goal of reaching the optimal value of ferritin

Replay from Dr. Shk. Sotiraq Lako, më 25 December 2020 në 04:20

Hello esteemed! Thank you for the dedication you show to all of us who write to you. I would like your opinion.
About 3-4 months ago, I had a very big weakness and anorexia and according to the tests, it turned out that I had a slight anemia with HGB 11 and ferritin 20. The medication I took once and skipped it because I had concerns, and when I repeated the tests, ferritin had gone to 13 and HGB 12.5. In my opinion, I used ferramax 100 1/day, folic acid 400 mcg, and vitamin C for one month. The results of the latest tests HGB 13.6 ferritin 24, erythrocytes 4.5, HCT 39, all within the norm, vitamin D 15. The problem is that from time to time I experience dizziness and fatigue while standing. I am 28 years old (no children) I have never had problems and my cycle has always been very regular, except recently it has changed to 23-26 days from 28 that I had. Does this change affect my condition and should I continue the treatment I am doing? Thank you very much and sorry for taking your time :)

Sent by Jona, më 24 December 2020 në 07:37

Hello Jona, the hemoglobin values of 13.6 gr/dl and ferritinemia 24 ng/ml do not justify complaints. The minimal normal value of ferritinemia in females is 20 ng/ml, and the optimal value is about 60 ng/ml. You can continue the treatment: Heferol 350 mg 2 x 1 capsule/day, plus Vitamin C 100 mg 2 x 1 tablet, per day, for at least 1 month with the aim of reaching the optimal value of ferritinemia

Replay from Dr. Shk. Sotiraq Lako, më 25 December 2020 në 04:20

Hello doctor! I congratulate you for your work and professional dedication. I am a 47-year-old woman. I have done routine blood tests, I have no concerns and the results are these:
WBC 6.7
RBC 4.81
HGB 12.4
HCT 39
MCV 61.1
MCH 25.8
MCHC 31.8
PLT 205
LY 51.9
MO 2.0
GR 46.1
RDWCV 13.1
RDWSD 42.5
PCT 0.25
MPV 12.4
PDW 16.7

All within the laboratory norms, except
MCH 25.8 (norm 28.0-32.0) and
MPV 12.4 (norm 7.0-11.0)

How can these results be interpreted? I await your answer. Thank you!

Sent by Bruna, më 27 December 2020 në 10:48

Hello Bruna, your peripheral blood analysis is currently normal

Replay from Dr. Shk. Sotiraq Lako, më 29 December 2020 në 03:25

Hello doctor! In June 2020, I had tests and my ferritin was 5.8 and hb was 8.9. Following the recommendation of the local doctor, I started ferro 3 forte but I didn't see results, then tried hemovit but it caused me nausea. In August, I started with feramax 150mg, 1 per day until October. I repeated the tests in October, ferritin was 8.4 and hb 11. On December 2nd, I did tests because I had symptoms of covid, CRP 65, ferritin 33.3, hb 10.4 and d-dimer 820. The pulmonologist prescribed me clexane injections until the d-dimer level decreased. I had no fever, the X-ray was clear. Only lost my sense of smell. My question is how should I continue with the treatment of low ferritin before Covid. What should I take? During the 4 weeks since covid, I haven't taken iron. Thank you in advance. Wishing you good health!

Sent by Anisa, më 28 December 2020 në 09:04

Hello Anisa, you have never been properly treated for Iron Deficiency Anemia. Of course, you must treat it as it should be

Replay from Dr. Shk. Sotiraq Lako, më 29 December 2020 në 03:27

Hello doctor! In June 2020, I did my tests and my ferritin was 5.8 and hb 8.9. On the recommendation of the local doctor, I started taking ferro 3 forte but I didn't see any results, then hemovit, but it caused me nausea. In August, I started taking feramax 150mg, 1 per day until October. I repeated the tests in October, ferritin was 8.4 and hb 11. On December 2nd, I did tests because I had symptoms of covid, pcr 65, ferritin 33.3, hb 10.4, and d-dimer 820. The pulmonologist prescribed me clexane injections until the d-dimer value decreased. I didn't have a fever, the x-ray was clear. Only my sense of smell was gone. My question is how should I continue with the treatment for low ferritin before Covid. What should I take? For the 4 weeks since covid, I haven't taken any iron. Thank you in advance. Stay well and healthy!

Sent by Anisa, më 28 December 2020 në 09:04

Hello Anisa, you have never been treated properly for Iron Deficiency Anemia. Of course, you need to treat it, as you should

Replay from Dr. Shk. Sotiraq Lako, më 29 December 2020 në 03:27

Can you tell me what I should use, please? I trust in your professionalism

Sent by Anisa, më 29 December 2020 në 03:34

Hello Anisa, I explained it to you

Replay from Dr. Shk. Sotiraq Lako, më 29 December 2020 në 07:09

Hello,
I am 29 years old, I have done the tests and these are the values that came out: RBC-5.51
HGB-15.3 HCT-43.9 MCV-79.7
MCH-27.8 LYM-19.9
MXD -12.8. PCR-6.47
What do you advise?

Sent by Juljan, më 10 January 2021 në 05:32

Hello Juljan, the values you have presented are normal

Replay from Dr. Shk. Sotiraq Lako, më 12 January 2021 në 04:08

Hello doctor.
In November 2019, my son (6 and a half years old) developed some marks on his body, purple in color as if bruised... after we went to the emergency room, they did tests and it turned out that his platelet count was very low, 19,500. All other elements were normal. He was hospitalized and started treatment, Ferritin, Folic Acid, Vit C, and Prednisone. They did a bone marrow test to see if he has leukemia, an abdominal ultrasound to check the organs, we did the antirabies analysis... and everything turned out very well. About a month later, the values increased and we stopped the cortisones at the beginning of December. Recently, at the beginning of January, the platelet count had dropped again, to about 34,000 but there were no marks on his body. Two days ago, a mark appeared on his knee... What should we do, doctor? Is this fluctuation normal? What could be causing this? Is there any treatment/medication that my son should take? What do you recommend?
Thank you,

Sent by Jona Puci, më 14 January 2021 në 02:31

Hello Jona, I believe the follow-up was done in the Hematology Service, Pediatric Hospital QSUT. The disease is likely called ITP, Idiopathic Thrombocytopenic Purpura. As a rule, in 95% of cases in children, it is transient. 5% may become chronic. The first-line treatment is prednisone, and if necessary, other medications. A value of 34,000 mm3 is a good value, it does not bring complaints, hemorrhagic phenomena. In any case, you will be under the care of a pediatric hematologist

Replay from Dr. Shk. Sotiraq Lako, më 14 January 2021 në 05:01

Hello Doctor! I am 24 years old and I just had blood and iron tests, I have problems with anemia, hemoglobin 12.1 and ferritin 8.91. I am using heferrol320mg once a day and vitamin C 3 times a pill after meals. Should I continue with this medication? What do you advise me??! I have started the treatment 4 days ago.
Thank you, I wish you success in your work!

Sent by Gilda, më 18 January 2021 në 15:38

Hello Gilda,

1-Hepherol 350 mg 2 x 1 capsule/day – 60 capsules/month.
2-Vitamin C 100 mg 2 x 1 tablet/day – 60 tablets/month.

In the middle or after food. For at least 2 consecutive months

Replay from Dr. Shk. Sotiraq Lako, më 19 January 2021 në 09:04

Hello doctor, thank you for the explanations you provide.
I have a 13-year-old daughter, I have done her blood tests and the result is
WBC - 5.01
RBC - 5.72
HGB - 13.4
MCV - 68.7
CHCM - 31.4
Ferritin - 53
Vitamin D3 (25-OH) - 22.47
HB A - 96.1
HB A2 - 3.9
Please, should she take any medicine, what do you advise?

Thank you
Good luck in your work

Sent by Evri, më 10 February 2021 në 08:20

Hello Evri, your daughter has beta-Thalassemia Minor, with normal Iron Reserves. There is no need for her to take any medication

Replay from Dr. Shk. Sotiraq Lako, më 11 February 2021 në 03:10

Hello doctor!
I did my blood tests and my mono% is 8.1
HCT 32.8
Hgb 11.2
Mcv 74.5
Mch 25.5
Rdw-sd 33.2
My main problem is that I express stress with vomiting.
But I have been vomiting more than 3-5 times a day for over a month and I can't eat, I have an appetite but food makes me nauseous

Sent by Al, më 15 February 2021 në 17:00

Hello, you have mild anemia. For vomiting, consult with the gastroenterologist and psychiatrist

Replay from Dr. Shk. Sotiraq Lako, më 17 February 2021 në 06:04

Hello doctor, I have done a hemoglobin electrophoresis and the values are HB A 95.2% and HB A2 4.8% while the complete blood count values are HGB 10.4 HCT 33.0 MCV 65.0 MCH 20.5 MCHC 31.5 Thank you

Sent by Marina, më 28 February 2021 në 11:57

Hello Marina, you are a carrier of Thalassemia (Thalassemia Minor). It is not treated, but ferritinemia should be evaluated

Replay from Dr. Shk. Sotiraq Lako, më 01 March 2021 në 03:09

Dear Dr. My sister is undergoing chemotherapy for diagnosed lung cancer. She has had her blood tests and all are within normal ranges. Only Mon is at 1 and PLT 673. Please any advice. Thank you

Sent by Mira, më 04 March 2021 në 09:06

Hello Mira, firstly it has no practical importance, elevated platelets are not an obstacle to undergoing chemotherapy. Their increase might be related to the underlying disease itself

Replay from Dr. Shk. Sotiraq Lako, më 06 March 2021 në 12:01

I can't find the doctor's answer!

Sent by Ola, më 23 March 2021 në 16:25

Hello Ola, The Hemoglobin Electrophoresis is normal, but this does not exclude all inherited anemias

Replay from Dr. Shk. Sotiraq Lako, më 24 March 2021 në 06:49

What analyses do you suggest I do and to schedule a consultation with you?

Sent by Ola, më 24 March 2021 në 11:10

You can come to discuss

Replay from Dr. Shk. Sotiraq Lako, më 27 March 2021 në 11:09

Hello Doctor! I am a 59-year-old lady and I was vaccinated with the AstraZeneca vaccine 10 days ago. I was advised to do tests for: Fibrinogen and D-dimer as well as Platelets PLT. My fibrinogen level came out at 430 mg/dL where the normal value was from 200 - 400 mg/dL. The value of my platelets plt resulted in 320 where the normal value was: 140 - 400 x10³/uL > 2 week but here it qualified a comment: PLATELETS NOTICED IN GROUPS. Should I be worried about these results and what could you advise me? I would be grateful if you could give me an answer. Thank you

Sent by Lutfie, më 27 March 2021 në 11:27

Hello Mrs. Lutfie, the values you have are normal values

Replay from Dr. Shk. Sotiraq Lako, më 28 March 2021 në 03:52

Hello Doctor! I am a 59-year-old woman and I was vaccinated with the AstraZeneca vaccine 10 days ago. I was advised to get tests for: Fibrinogen and D-dimer as well as Platelets PLT. My Fibrinogen level came out at 430 mg/dL where the normal value was from 200 - 400 mg/dL. The value of my platelets PLT turned out to be 320 where the normal value was: 140 - 400 x10³/uL > 2 weeks but here a comment qualified me: PLATELETS IN GROUPS ARE NOTICED. Should I be worried about these results and what could you advise me? I would be grateful if you could give me an answer. Thank you

Sent by Lutfie, më 27 March 2021 në 11:30

Hello Mrs. Lutfie, the values you have are normal values

Replay from Dr. Shk. Sotiraq Lako, më 28 March 2021 në 03:52

Hello doctor ... I need your opinion .. my brother has been suffering from dizziness all the time for three months from the tests done, his erythrocyte count comes out with a value of 5.44 when the normal values in analysis are emphasized to be 4-5.20 ... what can you tell me?

Sent by Elva , më 02 April 2021 në 13:58

Hello Elva, the normal values of erythrocytes in males are 4.3-5.5 million/mm3. Currently, the value is normal. Consult an ENT doctor

Replay from Dr. Shk. Sotiraq Lako, më 03 April 2021 në 02:24

Hello doctor ... I need your opinion ... my brother has been suffering from dizziness all the time for three months. From the tests done, his erythrocyte count is 5.44
When their normal values in the analysis are stated to be 4-5.20 ... what can you tell me?

Sent by Elva , më 02 April 2021 në 13:59

Hello Elva, the normal values of erythrocytes in males are 4.3-5.5 million/mm3. Currently, the value is normal. Consult an ENT doctor

Replay from Dr. Shk. Sotiraq Lako, më 03 April 2021 në 02:24

Hello doctor. On March 20, serological tests showed IGG=113coi, IGM=0.044coi, igg+igm=106coi. They told me that I had gone through COVID-19, d-dimer=0.13ug/ml; ferritin=223ng/ml. Today's blood tests are wbc=7.53; neut=4.71; lymph=2.38; mono=0.44; erythrocytes=5.39; hgb=14.2; hct=45.67%; platelets=245. How can these analyses be judged?

Sent by Hektor Mula, më 03 April 2021 në 12:16

Hello Hector, all the analyses are normal

Replay from Dr. Shk. Sotiraq Lako, më 04 April 2021 në 03:20

Hello doctor, congratulations on your work, I am writing to you about a concern of mine since I had the virus in September 2020 (where I confirmed that I lost taste and smell), I took medication, here the PCR was 49 and the temperature never went above 37.5.
Now at the beginning of March, I started having a temperature again, not higher than 37.4, I spent 5 days without any medication, after 5 days I did a complete blood test and PCR, where the blood was ok and PCR 5.44 (I did not do a swab but had people with covid in the house) I took Zimax for 5 days.
After that, about three weeks later, on April 1st, this temperature of 37.3 started again.
I directly did tests and all came out ok, only, granulocytes from 70 which was the max, were 69, and hemoglobin, 12, I note, that in December when I did tests for iron, ferritin was 20 (when I have anemia I also have concerns like extrasystoles in the heart often), at the edge of the minimum level, and I started taking one Heferol pill once a day.
I did a lung x-ray where from the interpretation everything comes out normal, but since the x-ray showed traces of affected lung tissue on the right side, and having told the doctor that I have chronic thyroiditis and anemia, she gave me 5 days of vitamins, syrup, and the antibiotic Wincef.
I am worried about this constant temperature that you call subfebrile temperature, please I ask for an assessment from you. Thank you

Sent by Ela, më 04 April 2021 në 13:06

Hello Ela, you currently do not have a genuine blood disease. For the temperature, the infectious disease doctor is the right one for that subfebrile issue

Replay from Dr. Shk. Sotiraq Lako, më 05 April 2021 në 10:48

Hello doctor,
I am 23 years old and my normal blood pressure is 90/70. In the last few days, I've been experiencing a lot of fatigue, dizziness, and blackouts. Also, strong heartbeats. My blood pressure was 90/40. After doing blood tests, I got these results: (during the tests I was on my menstrual cycle)
Hemoglobin: 12.1 g/dl
Sedimentation rate: 4 mm/h
Ferritin: 26.2
Should I be worried? What do you suggest?
Thank you and good luck with your work!

Sent by Sara, më 13 April 2021 në 15:01

Hello Sara, the current values of the blood tests are normal and do not justify complaints. For Blood Pressure, you will discuss with the cardiologist

Replay from Dr. Shk. Sotiraq Lako, më 14 April 2021 në 04:29

Hello Dr. Lako. I am a 42-year-old male, and I have conducted some tests for a general check-up. The CBC analysis shows LYM% = 18 and NEU % = 71, EOS % = 4.6. While all other values are within the norms. Could you suggest what should be considered regarding these values? Thank you

Sent by Enri, më 17 April 2021 në 08:46

Hello Enri, these are normal values for the parameters we use

Replay from Dr. Shk. Sotiraq Lako, më 17 April 2021 në 11:59

Hello Dr. Lako, I am Eli, 60 years old. A month ago, I had a blood test because I have problems with a low number of white blood cells, and the result was this: WBC 2.4, LYM 34.7, MID 12.5, GRAN 53.3, RBC 4.64, HGB 13.6, HCT 41.5, MCV 89.6, MCH 29.3, SED 14. Doctor, you suggested for 1 month: 1 Vitamin B12, 2 Folic acid, 3 Vitamin B6. Also, during this month, I got the COVID-19 vaccine. I have finished the vitamin treatment, and today I did the blood tests, the results are these: WBC 2.7, LYM 52.0, MID 8.2, GRAN 39.8, LYM# 1.4, MID# 0.2, GRAN 1.1, RBC 4.93, HGB 14.2, HCT 43.8, MCV 89.0, MCH 28.8, MCHC 32.4, RDW-CV 12.2, RDW-SD 34.0, PLT 227, MPV 9.3, PDW 10.2, PCT 0.21, P-LCR 10.1, P-LCC 22, SED 22. Doctor, please what do you suggest I do next, continue the medication or do some other test since the white blood cells have increased very slightly? I THANK YOU IN ADVANCE FOR YOUR HELP AND WISH YOU GOOD WORK!

Sent by Eli, më 21 July 2021 në 07:09

Hello Eli, there's no need to continue. To clarify the decrease in white blood cells, viral tests are valued, an abdominal ultrasound, LDH, and probably a myelogram will be done

Replay from Dr. Shk. Sotiraq Lako, më 22 July 2021 në 14:19

Doctor, I greet you, Aferdita from Austria. I did the tests again today and these are the results since I have pain on the left side, in the ribs and left arm, and bone pain. I have written to you before, but now some tests worry me. Wbc 10.2 Lymf 3.0 Gran 6.5 Mid 0.7 Lymf 29.9 Gran 63.9 Mid 6.2 Hct 0.37 Mcv 80.1 Rbc 4.56 Hgb 123 Mch 26.9 Mchc 336 Rdw% 14.7 Rdv 58.8 Pct 0.21 Mpv 9.4 Plt 222 Pdw 13.4 LPCR 28.7 Erythrocyte sedimentation rate 24 Glucose 3.94 Cholesterol 5.79 Triglycerides 1.53 Urea 4.4 Creatinine 76 Alt(gpt) 52 Ast(got) 49 Total bilirubin 7.4 Direct bilirubin 1.5 Crp 19.06 Please, I am very worried, I have had an ultrasound 10 days ago, but it turned out fine, what should be done?

Sent by Aferdita, më 03 Agust 2021 në 08:07

Hello, the complete blood count and erythrocyte sedimentation rate are normal. I don't understand the values of urea, creatinine, bilirubin. CRP is elevated. They are not related to blood diseases

Replay from Dr. Shk. Sotiraq Lako, më 03 Agust 2021 në 08:48

Please, I need a more detailed explanation because I do not understand why the reason for what is increasing and if it happens that I am slightly with the flu, sore throat, or if it has something to do with leukemia because I need an explanation from a professional like you, honored one, since I do not know what is happening to me. The doctor tells me that it's not too serious, I am worried but I am eagerly waiting for a response from you, honored one

Sent by Aferdita, më 03 Agust 2021 në 12:48

Hello Aferdita, I cannot help you more than this. The patient's complaints fall under subjectivity, I only interpret the analyses that you have written, some of which not in the correct way

Replay from Dr. Shk. Sotiraq Lako, më 04 Agust 2021 në 02:09

Thank you Dr. Lako, but I am waiting for a response from you. I don't know where to turn, whether I should do other tests or what I should do since I don't know where to turn. I just want to know if I have leukemia and how to confirm it. Please, should I worry about these tests that are not good? Please

Sent by Aferdita, më 04 Agust 2021 në 02:25

Mrs. Aferdita, if possible, could you come to discuss in person, I cannot judge much by email

Replay from Dr. Shk. Sotiraq Lako, më 04 Agust 2021 në 05:19

But please I can't come because I have to return to Austria and I am very worried, I understand you more or less but I am waiting for at least one answer from you, should I worry about these analyses or should I continue the treatment or what should I do please

Sent by Aferdita, më 04 Agust 2021 në 05:56

Mrs. Aferdita, if you are in Albania and are so concerned, there is always the possibility of meeting. In the analyses you have sent, it does not appear to be a primary blood disease

Replay from Dr. Shk. Sotiraq Lako, më 04 Agust 2021 në 07:36

Hello doctor, the last time we were in contact was after the treatment with heferol and the result was 76 iron in November. Today I did a complete blood analysis: WBC-8.09, neutrophils 58.7, LYM -32.4, Monocytes-0.58, basophils 0.7, eosinophils 1.0, Neutrophils 4.75%, LYM-2.62, MONO -0.58, BASO -0.06, EOS-0.08, RBC -4.48, HCT -38.8, HGB - 13.6, MCV -79.8, MCH -28.0, MCHC -35.1, RDW-SD - 36.8, RDW-CV -12.6, PLT -305, PDW-13.7, average platelet volume 11.5, P-LCR 36.2, PCT -0.35. Erythrocyte sedimentation rate - /

FERRITIN: 11.15

Sent by Denisa, më 04 Agust 2021 në 11:50

Hello Denisa, your anemia has been corrected, but treatment continues to correct the iron deficiency (ferritinemia > 20 ng/ml)

Replay from Dr. Shk. Sotiraq Lako, më 05 Agust 2021 në 07:35

Hello doctor, the last time we were in contact was after the treatment with heferol and the result was 76 iron in November. Today I did a complete blood test: WBC-8.09, neutrophils 58.7, LYM-32.4, Monocytes-0.58, basophils 0.7, eosinophils 1.0. Neutrophils 4.75%, LYM-2.62, MONO-0.58, BASO-0.06, EOS-0.08. RBC-4.48, HCT-38.8, HGB-13.6, MCV-79.8, MCH-28.0, MCHC-35.1, RDW-SD-36.8, RDW-CV-12.6. PLT-305, PDW-13.7, average platelet volume 11.5, P-LCR 36.2, PCT-0.35. Erythrocyte sedimentation rate -/.

FERRITIN: 11.15

Sent by Denisa, më 04 Agust 2021 në 12:16

Hello Denisa, your anemia has been corrected, but treatment continues to correct the iron deficiency (ferritinemia > 20 ng/ml)

Replay from Dr. Shk. Sotiraq Lako, më 05 Agust 2021 në 07:35

Hello doctor, the last time we were in contact was after the treatment with heferol and the result was 76 for iron in November. Today I did a complete blood count analysis WBC-8.09 neutrophils 58.7
LYM-32.4 Monocytes-0.58 basophils 0.7 eosinophils 1.0
Neutrophils 4.75%
LYM-2.62 MONO-0.58 BASO-0.06 EOS-0.08
RBC-4.48 HCT-38.8 HGB-13.6 MCV-79.8 MCH-28.0
MCHC-35.1 RDW-SD-36.8 RDW-CV-12.6
PLT-305 PDW-13.7 mean platelet volume 11.5 P-LCR 36.2 PCT-0.35. Erythrocyte sedimentation rate - /

FERRITIN:11.15

Sent by Denisa, më 04 Agust 2021 në 12:37

Hello Denisa, your anemia has been corrected, but treatment continues to correct the iron deficiency (ferritinemia > 20 ng/ml)

Replay from Dr. Shk. Sotiraq Lako, më 05 Agust 2021 në 07:35

Hello, what time can I visit the American hospital?

Sent by Denisa , më 04 Agust 2021 në 13:56

Hello Denisa, 9:30, American Hospital 2, August 6, 2021

Replay from Dr. Shk. Sotiraq Lako, më 05 Agust 2021 në 07:37

Hello, what hours can I visit the American hospital?

Sent by Denisa , më 04 Agust 2021 në 14:06

Hello Denisa, 9:30 AM, American Hospital 2, August 6, 2021

Replay from Dr. Shk. Sotiraq Lako, më 05 Agust 2021 në 07:37

Aren't you at American 1 for lunch? Please, a contact number

Sent by Denisa, më 05 Agust 2021 në 10:53

Can you come to the American Hospital 1 as well? You will speak with the coordination about the schedule, 042357535

Replay from Dr. Shk. Sotiraq Lako, më 06 Agust 2021 në 07:53

Aren't you at American 1 for lunch? Please, a contact number

Sent by Denisa, më 05 Agust 2021 në 13:22

Yes, you can come to American Hospital 1. You will talk to the coordination for the schedule, 042357535

Replay from Dr. Shk. Sotiraq Lako, më 06 Agust 2021 në 07:53

But I live in Macedonia, not Albania, because if I were from Albania, I would come immediately and visit a doctor like you. But I don't know what primary disease means, please explain it to me

Sent by Aferdita, më 06 Agust 2021 në 05:18

Genuine blood disease. Changes in blood tests can also come from other factors not related to the blood, in this case, we talk about secondary changes

Replay from Dr. Shk. Sotiraq Lako, më 06 Agust 2021 në 07:54

Hello doctor, I am a 28-year-old girl. A month ago, my blood tests showed FERRITIN 5.29ng/ml, SERUM IRON 27.36ug/dl, RBC 4.68, HCT 36.8, HGB 11.6, HEMOGLOBIN 11.6, ESR 6. You suggested HEFEROL, VIT C, VIT B6 for 3 months. After 1 month of treatment, today I repeated the complete blood analysis and the results are as follows: RBC 4.85, HCT 40.8, HEMOGLOBIN 13.1, MCV 84.1, MCH 27.0, MCHC 32.1, RDW-SD 49.6, RDW-CV 15.8, PLT 195, PDW 15.3, P-LCR 44.0, PCT 0.24, Mean Platelet Volume 12.3, ESR 3, WBC 4.46, NEU% 55.3, LYM% 29.4, MONO% 11.0, BASO% 0.7, EOS% 3.6, NEU# 2.47, LYM# 1.31, MONO# 0.49, BASO# 0.03, EOS# 0.16. I will continue with the medication for another 2 months and after finishing them, I will repeat the ferritin analysis. I also got the first anti-covid coronavac vaccine during this period. I don't know if I have had any results this month from taking iron? I wish you health and good work

Sent by Patriza, më 12 Agust 2021 në 10:27

Hello Patrizia, you no longer have anemia. You will do a ferritinemia, to evaluate if the iron stores are replenished

Replay from Dr. Shk. Sotiraq Lako, më 15 Agust 2021 në 05:01

Hello doctor, I am writing about my 6-year-old son, I also have a one-year-old daughter. I had their tests done four months ago, and these were the results: WBC 10.01, Neut 2.00, Lymp 7.06, Mono 0.71, RBC 4.04, HGB 10.1, HCT 29.8, MCV 73.8, MCH 25.0, PLT 560, erythrocyte sedimentation rate 11, Ferritin 55.1, Serum iron 97, Calcium 10.3. How do these values look to you, do my children suffer from any kind of hidden anemia, and what additional tests could I do to find out?

Sent by Ana, më 13 Agust 2021 në 02:05

Hello Ana, the values are good, for the age. The peripheral blood analysis should be repeated once more

Replay from Dr. Shk. Sotiraq Lako, më 15 Agust 2021 në 04:56

Hello doctor, I am writing about my 6-year-old son, and I also have a 1-year-old daughter. I conducted blood tests for them four months ago, and these were the results: WBC 10.01, Neut 2.00, Lymp 7.06, Mono 0.71, RBC 4.04, HGB 10.1, HCT 29.8, MCV 73.8, MCH 25.0, PLT 560, erythrocyte sedimentation rate 11, Ferritin 55.1, Sideremia 97, Calcium 10.3. How do these values look to you? Do my children suffer from any kind of hidden anemia, and what additional tests could I do to find out?

Sent by Ana, më 13 Agust 2021 në 02:12

Hello Ana, the values are good for the age. The peripheral blood analysis should be repeated once more

Replay from Dr. Shk. Sotiraq Lako, më 15 Agust 2021 në 04:56

Hello doctor,
My sister suffers from anemia. Some time ago, a doctor in Kosovo prescribed her to use HEFEROL 350 mg 2x1 and Vitamin C 500 mg 2x1 for three months, but recently we repeated the analysis after the used therapy and the iron level is still low, while the others had improved. My sister has problems with heavy menstrual bleeding.
The results of the latest analyses are: Erythrocyte sedimentation rate 6, Urea 5.0, Creatinine 67.5, Total Bilirubin 6.4, Direct Bilirubin 2.6, Iron 5.9, WBC Leukocytes 4.9, Neutrophils 77.5, Lymphocytes 18.0, Monocytes 2.7, Eosinophils 1.2, Basophils 0.6, RBC Erythrocytes 4.46, HGB-hemoglobin 123, HCT-hematocrit 35.5, MCV 79.7, MCH 27.5, MCHC 346, PLT-platelets 346.
We kindly ask if you can advise us on what to do.
Thank you

Sent by Edi, më 13 Agust 2021 në 08:31

Hello Edi, the main cause of iron deficiency is increased bleeding. The treatment is regular, but it cannot be completely and permanently successful unless the bleeding is addressed first. Initially, consult and address the bleeding issue, and then the current treatment will be successful

Replay from Dr. Shk. Sotiraq Lako, më 15 Agust 2021 në 04:54

Thank you for the response, but you haven't replied to me about my son's analyses. The boy is 6 years old and has these results: WBC 13.19, Neut 3.38, Lymp 6.86, Mon 1.84, Eo 1.04, RBC 5.06, HGB 13.3, HCT 38.6, MCV 73.6, PLt 439. Erythrocyte sedimentation rate 6, Ferritin 42.9, Serum Iron 78. Are these values normal?

Sent by Ana, më 15 Agust 2021 në 05:44

Hello Ana, I have replied to you two or three times, both here and in email. Currently, it is a normal analysis

Replay from Dr. Shk. Sotiraq Lako, më 15 Agust 2021 në 10:39

Dear Dr., My sister suffers from squamous cell lung cancer. She has undergone 25 days of radiation, five days a week, and chemotherapy with carboplatin and taxol once a week. Today, she did her blood tests, and her white blood cell count was 1.17, from the 5-10 that is considered the normal range by the laboratory; the other red blood cells and hemoglobin are normal. PLT 84. How should she proceed to increase her white blood cells? Is there any medication to increase them? Thank you for being very patient and professional in answering our questions

Sent by Mira, më 16 Agust 2021 në 09:52

Hello Mira, changes are expected from the treatments. Following up on these issues through messages is impossible. You will keep in touch with your oncologist

Replay from Dr. Shk. Sotiraq Lako, më 17 Agust 2021 në 03:28

Hello doctor! We have communicated before about my father's case, who has Myelodysplasia. The latest analyses are: WBC 2.59; RBC 3.72; LYM 64.2; PLT 203; HGB 11.9; MCH 31.9; MCHC 30.6; RDWsd 70.3; RDWcv 15.4; PDWsd 9.8; PDWcv 37.2; MPV 9.2; PLCC 70; PLCR 34.45; You told me to use vitamins B6 and Folic Acid, currently there are no other concerns but his condition has significantly worsened, especially the part of his tongue which has blisters and ulcers. Please, I await a recommendation from you on what can be done

Sent by Leda, më 18 Agust 2021 në 03:43

Hello Leda, you will have an assessment from an ENT doctor

Replay from Dr. Shk. Sotiraq Lako, më 18 Agust 2021 në 07:02

Hello doctor! I have an 11-month-old daughter for whom I have done some tests and some results are out of the normal range.
Platelet Count *444
Eosinophils *8.5% 0.69
Transferrin saturation *15
Aspartate transferase *47
CK *170
Total protein *60
Globulin *16
Uric acid *121
Thank you

Sent by Matilda, më 18 Agust 2021 në 09:52

Hello Matilda, except for a slight increase in eosinophils, the other values are normal. Eosinophils usually increase due to allergies, or parasites. You will discuss with the pediatrician

Replay from Dr. Shk. Sotiraq Lako, më 19 Agust 2021 në 08:15

Hello doctor! I have an 11-month-old daughter, I've done some tests and some of the results are out of the normal range.

Platelet Count *444
Eosinophils *8.5% 0.69
Transferin saturation *15
Aspartate transferase *47
CK *170
Total protein *60
Globulin *16
Uric acid *121
Thank you

Sent by Matilda, më 18 Agust 2021 në 12:55

Hello Matilda, except for a slight increase in eosinophils, the other values are normal. Usually, eosinophils increase due to allergies or parasites. You will discuss with the pediatrician

Replay from Dr. Shk. Sotiraq Lako, më 19 Agust 2021 në 08:15

Hello doctor, I suffer from chronic leukemia (Myeloproliferative Syndrome C-88). I wanted to ask if I can get the vaccine, and tomorrow I have two options: Pfizer or AstraZeneca

Sent by Armendi, më 19 Agust 2021 në 06:32

Hello Armendi, for all blood pathologies, vaccination is recommended. In Albania, Pfizer has been reserved for these diseases

Replay from Dr. Shk. Sotiraq Lako, më 19 Agust 2021 në 08:16

Thank you for the help, Doctor, I hope to visit you soon for more clarification

Sent by Armendi, më 19 Agust 2021 në 08:30

And I greet you

Replay from Dr. Shk. Sotiraq Lako, më 19 Agust 2021 në 09:27

Hello.
In my sister's analysis, it showed that
RDW - 38%
They told us to also do the ferritin test, and it came out to be 28.1 ng/ml (within the norms provided by the laboratory).
Please, if you can, tell me if there is a need for treatment with medications like iron or not?

Sent by Gabri, më 20 Agust 2021 në 07:31

Hello Gabri, the values you present are normal

Replay from Dr. Shk. Sotiraq Lako, më 21 Agust 2021 në 09:44

Hello doctor, I have a 17-year-old son and in the latest tests I did a few days ago, his neutrophil granulocytes were 32.5, while lymphocytes were 53.3, I also did a CRP which was 1.84. I've done thyroid tests and a urine culture as well, which came out negative. Could you please guide me on what other tests to do to understand what kind of infection or bacteria has caused this increase, thank you

Sent by Rezarta, më 03 September 2021 në 03:08

Hello Rezarta, these are relative changes and generally come from a decrease in neutrophils. If the number of neutrophils is > 1,000 mm3, it is a good value to be protected from infections. There is no specific treatment. Repeat after 2 weeks

Replay from Dr. Shk. Sotiraq Lako, më 03 September 2021 në 07:31

Hello doctor. I am 52 years old and have suffered from iron deficiency anemia for years. Recently, I got my tests done and the results were RBC 3,820,000, HGB 11.2, HCT 31.3, MCV 81.9, MCH 29.4, MCHC 35.9, RDW 13.7, WBC 9200, PLT 279,000, Ferritin 10. Please prescribe me medications that do not contain gelatin. Also, what do you recommend for the COVID vaccination?

Sent by Dita, më 04 September 2021 në 14:28

Hello Dita, you have Anemia, mild, probably from iron deficiency. You need treatment, a daily dose of 200 mg elemental iron, the treatment continues for at least 3 months in a row. The aim of the treatment is to correct the anemia for 1 month and for 3 months also the ferritinemia. There is no obstacle to getting vaccinated

Replay from Dr. Shk. Sotiraq Lako, më 05 September 2021 në 08:19

Hello esteemed doctor, I am from Kosovo, my test results came out as follows:
RBC 5.43
MCV 94.2
RDW 15.2
RDWa 79.0
HCT 51.2
PLT 142
MPV 8.9
PDW 12.1
PCT 0.12
LPCR 20.7
WBC 6.7
HGB 15.4 HL
MCH 28.5
MCHC= L 30.2
LYM 3.2
GRAN 3.2
MID 0.3
LYM% 47.8
GRA% 48.1
MID% 4.1
SEDIMENT 5
ERYTHROCYTES 5.0
HEMOGLOBIN 151
LEUKOCYTES 7.7
GLUCOSE 5.5
UREA 3.9
CREATININE 93.5
CHOLESTEROL 2.7
TRIGLYCERIDES 0.80
CRP 1.21
TSH 2.06
FreeT3 5.17
FreeT4 4.13
ALT 34.7
AST 32.6
Total Bilirubin 15.9
Direct Bilirubin 5.6
Urine analysis
URINE SEDIMENT
2-3 LEUKOCYTES
3-4 EPITHELIAL CELLS
6-7 CALCIUM OXALATE CRYSTALS
Since January until now, these parameters have always been good, but I am having problems with folliculitis, pimples on the head and face.
I used local creams, but after a while, they reappear, one day a person told me maybe you have bacteria in the blood, I don't know what blood bacteria are and I wanted to consult and you to tell me if these tests are okay.
In the radiographic imaging of the lungs, I was found to have an early cold called Bronchiectasis.
Today, by chance while reading, I saw that you are a renowned doctor with experience and I see comments praising you.
I would like to know what to do next and what blood bacteria are and which tests to perform.
Thank you very much!

Sent by Nuhiu, më 07 September 2021 në 09:37

Hello Nuhiu, the analyses you have presented are all normal. Bronchiectasis is an issue that you will discuss with the pulmonologist. For the skin elements, you will discuss with the dermatologist

Replay from Dr. Shk. Sotiraq Lako, më 08 September 2021 në 03:18

Dear Dr., If you could give me some advice. My sister has done the D-dimer tests and it came out 1100. She has been diagnosed with lung cancer but these last 3 days she has had a fever. According to the doctor, she doesn't have Covid. I'm worried about the D-dimer, what could she take? Blood thinners. Thank you

Sent by Mira, më 09 September 2021 në 09:12

Hello Mira, the value for the diagnosis that your sister has is acceptable. D-dimer is an inflammation protein and both the tumor disease and the possible infectious condition increase it. I don't know if the lady has had a personal, family history with thrombosis, miscarriages?

Replay from Dr. Shk. Sotiraq Lako, më 10 September 2021 në 07:19

Thank you, doctor, for answering the question. Since you asked about personal or family history with thrombosis or bleeding, there has been no personal or family history. Which type of thinner can be taken? The age is 62 years. Thank you once again

Sent by Mira, më 11 September 2021 në 08:35

Hello Mira, it is not a significantly increased value for the age and illness that she/he has. If it's not Covid19, there has been no prior history, no family history, there's no need for prophylactic medication. If remaining bedridden, can use Xarelto 10 mg 1 tablet/day, for this period. Movements and water are recommended

Replay from Dr. Shk. Sotiraq Lako, më 12 September 2021 në 04:22

Hello doctor, following your advice, I had my son's tests redone after 2 weeks and thankfully, the results came back very good, within the normal range. I wanted to ask how often you recommend doing the tests during the year so we can keep ourselves in check as much as possible. Thank you for the guidance

Sent by Rezarta, më 15 September 2021 në 10:31

And I greet you, Rezarta

Replay from Dr. Shk. Sotiraq Lako, më 16 September 2021 në 03:02

Dear doctor. My sister did the tests and her D-dimer came out 862 out of 1100. She has been taking Xarelto 15 mg. She has 2 days of medication left. The D-dimer is decreasing. It's been 10 days of treatment. Should she continue with Xarelto or some other medication?

Sent by Mira, më 18 September 2021 në 08:07

Hello Mira, the values of the sister are not of an importance to take a blood thinner. It is considered to use them when the values are 4-6 times above the norm and the norm depends on the age. For example, at the age of 60, the D-dimer should be > 2,500 - 3,000 ng/ml, to consider the possible use of prophylaxis

Replay from Dr. Shk. Sotiraq Lako, më 19 September 2021 në 02:00

Hello. I did some tests on my daughter because she has had a fever for 5 days and it won't go down. They suspect a urinary infection but I haven't been able to get a sample because it's difficult since she is 11 months old. She is very tired because she was on antibiotics bactrim and then azithromycin before, as they said she has mild bronchitis. I would really like you to look at her tests. How can I send them to you?

Sent by Viosalda , më 18 September 2021 në 13:51

Hello Viosalda, the pediatrician will do the assessment. I am a hematologist for adults, age over 14 years

Replay from Dr. Shk. Sotiraq Lako, më 19 September 2021 në 02:01

Hello doctor... I have done a complete blood analysis and the erythrocyte sedimentation rate is 39 while the hemoglobin is 11.8, in fact, in previous analyses, the erythrocyte sedimentation rate has been high, but other values have been within the norms. To see where it comes from, I have also done a PCR analysis, calcium, and a urine analysis but the values have been within the norms. I wanted to know what could cause an increase in blood sediment? Could it be a middle ear infection causing it?
Thank you

Sent by Anxhela, më 20 September 2021 në 12:09

Hello Anxhela, erythrocyte sedimentation rate also depends on the patient's age. For females, it is age + 10 / 2

Replay from Dr. Shk. Sotiraq Lako, më 21 September 2021 në 03:02

Hello doctor. We need your help with my husband's case. He had COVID in November 2020, and it has affected his kidneys. He has been on dialysis for four months. My husband has Mediterranean anemia and has been on dialysis since April 15, 2021. Lately, he has developed pneumonia in his left lung, for which he is taking antibiotics. After a week-long treatment, the pulmonologist advised us to speak with a hematologist because he currently has anemia, which according to him is critical. According to the blood analysis BEecf - 7.9mmol/L... please, can we have a consultation visit with you? Thank you!

Sent by Albana, më 25 September 2021 në 08:44

Hello Albana, Thalassemia minor has a mild congenital anemia that doesn't change. Other anemias can be superimposed, as in the case of kidney disease. In this case, the treatment will be done by the nephrologist, iron preparations, erythropoietin, blood transfusion

Replay from Dr. Shk. Sotiraq Lako, më 26 September 2021 në 08:50

Hello Doctor. First and foremost, I hope you are well. I wanted to know your evaluation of the blood tests as follows:
(I am only sending you the values of the complete blood analysis, which are outside normal parameters)

RBC - 6.43
HGB - 12.50
HCT - 39.0
MCV - 60.70
MCH - 19.40
RDW-CV - 18.6 %
RDW-SD -35.10

I also did hemoglobin electrophoresis, and the results are as follows:

HbA1 - 95.80 %
HbA2 - 4.2 % (high)
HbF - 0
HbS - 0

Ferritin test:

76.15 ng/mL

Thank you for your tireless work and I look forward to your response.

Best of luck!

Sent by klajd, më 05 October 2021 në 05:36

Hello Klajd, you are a carrier of Thalassemia (Thalassemia minor). It is a mild, inherited pathology, not treatable. It only matters in transmission to offspring, for this reason your wife will be interested (whether she has this problem or not)

Replay from Dr. Shk. Sotiraq Lako, më 06 October 2021 në 09:26

Hello doctor. I just received an email about your response, but I haven't received anything. Could you possibly resend it to me. Thank you and have a good day at work

Sent by anila, më 10 October 2021 në 03:57

Hello Anila, besides fats and Vitamin D, the other values are normal. You will discuss with the endocrinologist

Replay from Dr. Shk. Sotiraq Lako, më 11 October 2021 në 09:22

Hello doctor, I wrote to you a few days ago as well. I am checking my email and have not received a response. If possible, please write to me about the results of the tests. I am 53 years old. The results were WBC 8.59, NEU 63.3, BBC 5.07, HCT 44.3, HGB 15.0, ESP 8, PDW 8.7, CHOLESTEROL 269.7, HDL 45.8, LDL 208.8, TRIGLYCERIDES 229, VITAMIN D 25.41, FERRITIN 131.2, D DIMER 023, HBA1C 5.53. Wishing you a good day at work, doctor

Sent by anila, më 11 October 2021 në 04:29

Hello Anila, besides fats and Vitamin D, the other values are normal. You will discuss with the endocrinologist

Replay from Dr. Shk. Sotiraq Lako, më 11 October 2021 në 09:24

Hello doctor, I wrote to you a few days ago as well. I've been checking my email and haven't received a reply. If possible, please write to me about the results of the tests. I am 53 years old. The results were WBC 8.59, NEU 63.3, BBC 5.07, HCT 44.3, HGB 15.0, ESR 8, PDW 8.7, CHOLESTEROL 269.7, HDL 45.8, LDL 208.8, TRIGLYCERIDES 229, VITAMIN D 25.41, FERRITIN 131.2, D-DIMER 023, HBA1C 5.53. Wishing you a good day at work, doctor

Sent by anila, më 11 October 2021 në 04:29

Hello Anila, besides the fats and Vitamin D, the other values are normal. You will discuss with the endocrinologist

Replay from Dr. Shk. Sotiraq Lako, më 11 October 2021 në 09:24

Hello esteemed Dr. Lako, I hope you are well.
I wish to consult with you regarding my case. I am a 22-year-old from Kosovo. Since the age of 18, I have noticed an increase in the values of Total Bilirubin, Direct Bilirubin, ALT, and AST. From this age until now, the values have been constant but outside the norms. (ALT-74, AST-31, B. Total-72.2, B. Direct- 14.7). For this situation, I have visited many infectious disease specialists and am under their supervision. Upon the request of many doctors, I have undergone all analyses related to liver function and only Total Bilirubin, Direct Bilirubin, ALT, and AST values are elevated. It should be noted that I also had a liver elastography which resulted within the permitted norms. According to Infectious Disease Specialists, I have been diagnosed with GILBERT. During March of this year, I was infected with COVID-19 and after recovering from COVID-19, problems with Hemoglobin (HGB), Erythrocytes (RBC), and Hematocrit (HCT) appeared. Their values are: HGB-196, HCT- 57, RBC-6. Approximately these values have been the same from March 2021 until today. After consultations with a Hematologist in Kosovo, they recommended bloodletting. My questions for you, Dr. Lako, are: what is the reason for the increase in blood volume? In this situation that I am in, what are your recommendations for me?
Thank you for your time and understanding…!

Sent by Urim, më 11 October 2021 në 06:50

Hello Urim, Gilbert's is a mild congenital disorder, characterized by an increase in total/indirect bilirubin and without an increase in transaminases. The values of RBC, Hb, Hct, if such are to be evaluated. Their increase could be the effect of diseases or conditions that influence the increase in the production of erythrocytes from the Bone Marrow, or a defect in the Bone Marrow itself (Polycythemia Vera). For this, we perform the JAK2V617F mutation and the Bone Marrow Biopsy. If these values are as such, for your age, blood removal is preferred

Replay from Dr. Shk. Sotiraq Lako, më 11 October 2021 në 09:29

Hello doctor...I don't know if I can get an answer from you regarding the vaccines...I am 20 years old and wanted to know if you recommend the AstraZeneca vaccine for my age?
Thank you

Sent by Anxhela, më 13 October 2021 në 04:18

Hello Anxhela, I am not the doctor you would ask about vaccines. The most updated on the use of vaccines in Albania is the family doctor and the infectious disease doctor

Replay from Dr. Shk. Sotiraq Lako, më 13 October 2021 në 08:36

Hello doctor. I hope you and your family are well. I would greatly appreciate your response regarding the blood tests I have recently done. As a specialist in the field, what is your opinion on these analyses? Sideremia 33 Hgb 13.5 Hba 97.1 Hba2 2.9. I am 28 years old. Thank you in advance for the time you dedicate to each of us

Sent by Arjola, më 14 October 2021 në 08:32

Hello Arjola, ferritinemia is a test that you need to do to evaluate your iron stores. The values you have presented are normal

Replay from Dr. Shk. Sotiraq Lako, më 15 October 2021 në 02:17

Hello to you, doctor.
My mom has been suffering from thrombocytopenia for 10 years and during this time she has been taking cutason, but she always has problems whenever the doctors reduce the dose of cutason, with hematomas appearing on her body and bleeding from the gums, fatigue in case of injury, and coagulation problems. What do you suggest she should do?

Sent by Xheneta, më 18 October 2021 në 16:34

Hello Xheneta, what is the current number of platelets

Replay from Dr. Shk. Sotiraq Lako, më 19 October 2021 në 03:28

Hello to you, doctor.
My mom has been suffering from thrombocytopenia for 10 years and during this time has used cortisone, but every time the doctors reduce the dosage of cortisone, she experiences problems such as bruises appearing on her body, bleeding from the gums, fatigue upon injury, and coagulation issues. What do you suggest she do?

Sent by Xheneta, më 18 October 2021 në 22:12

Hello Xheneta, what is the current number of platelets?

Replay from Dr. Shk. Sotiraq Lako, më 19 October 2021 në 03:29

Hello Dr. Lako, greetings from Afërdita in Austria. I have written several times before, endless thanks for your tireless effort in responding. I visited the family doctor today because I am again experiencing pain on the left side of my abdomen, under the ribs, and he only did a blood test with the following results: WBC 6.3, RBC 3.82, Hgb 11.2, Hct 34.0, MCV 89.0, MCH 29.3, MCHC 32.9, PLT 392h, Ly 2.2, Mo 0.2, Gr 3.9, RDW-CV 10.2, RDW-SD 36.3, PCT 0.33, MPV 8.4, PDW 16.7. I am worried because the PLT seems very high, please I await your response

Sent by Aferdita, më 19 October 2021 në 10:39

Hello Aferdita, your platelets are normal (144-444,000 mm3). You have mild anemia, which does not justify your complaint

Replay from Dr. Shk. Sotiraq Lako, më 20 October 2021 në 05:38

Hello doctor, I am a 28-year-old girl who has had problems with anemia (iron stores) for some years now. Three months ago, my ferritin was 5. For these three months, I have been taking the medication you advised: Heferol 2X1, Vit C 2X1, B6 2X1, and today my blood tests came back with these results: FERRITIN 33.22ng/ml. ERYTHROCYTE SEDIMENTATION RATE 5, RBC 4.94, HCT 42.9, HGB 14.5, MCV 86.8, MCH 29.4, MCHC 33.8, RDW-SD 41.8, RDW-CV 13.0, WBC 4.47, NEU 55.7, LYM 26.6, MONO 11.9, BASO 0.7, EOS 5.1, NEU# 2.49, LYM# 1.19, MONO# 0.53, BASO# 0.03, EOS# 0.23, PLT 216, PDW 13.9, P-LCR 30.5, PCT 0.23, Mean Platelet Volume 10.6. Doctor, with these results, should I continue the treatment or do you suggest something else? I thank you in advance and wish you good work!

Sent by Patrizia , më 19 October 2021 në 14:44

Hello Patrizia, you are currently considered fully corrected from the treatment. Since the goal is for ferritinemia in a woman to be close to 60 ng/ml, you can continue the treatment for another month

Replay from Dr. Shk. Sotiraq Lako, më 20 October 2021 në 05:40

Hello Dr. Lako, greetings, Aferdita from Austria. I have written several times before, endless thanks for your tireless responses. I visited the family doctor today because I am again experiencing pain on the left side of my abdomen under the ribs, and I only had a blood test done. Here are the results: WBC 6.3, RBC 3.82, Hgb 11.2, Hct 34.0, MCV 89.0, Mch 29.3, MCHC 32.9, Plt 392H, Ly 2.2, Mo 0.2, Gr 3.9, RDW-CV 10.2, RDW-SD 36.3, PCT 0.33, MPV 8.4, PDW 16.7. I am worried because the platelet count seems very high. Please, I am waiting for a response

Sent by Aferdita, më 20 October 2021 në 01:33

Hello Aferdita, your platelets are normal (144-444,000 mm^3). You have mild anemia, which does not justify your complaint

Replay from Dr. Shk. Sotiraq Lako, më 20 October 2021 në 05:39

Hello Dr. Lako, greetings from Aferdita in Austria. I have written several times before to express my endless gratitude for your tireless efforts in responding. I visited the family doctor today as I am experiencing pain again on the left side of my abdomen under the ribs, and I only had a complete blood count done. Here are the results: WBC 6.3, RBC 3.82, Hgb 11.2, Hct 34.0, MCV 89.0, MCH 29.3, MCHC 32.9, PLT 392H, Ly 2.2, Mo 0.2, Gr 3.9, RDW-CV 10.2, RDW-SD 36.3, PCT 0.33, MPV 8.4, PDW 16.7. I am worried because my platelet count seems very high. Please, I await your response

Sent by Aferdita, më 20 October 2021 në 02:52

Hello Aferdita, your platelets are normal (144-444,000 mm3). You have mild anemia, which does not justify your complaint

Replay from Dr. Shk. Sotiraq Lako, më 20 October 2021 në 05:39

Hello Dr. Lako, greetings from Aferdita in Austria. I have written several times before, endless thanks for your tireless responses. I visited the family doctor today as I am experiencing pain again on the left side of my abdomen, under the ribs, and he only performed a hemogram with the following results: WBC 6.3, RBC 3.82, Hgb 11.2, Hct 34.0, MCV 89.0, MCH 29.3, MCHC 32.9, PLT 392H, Ly 2.2, Mo 0.2, Gr 3.9, RDW-CV 10.2, RDW-SD 36.3, PCT 0.33, MPV 8.4, PDW 16.7. I am worried about why the PLT is significantly elevated. I kindly await a response

Sent by Aferdita, më 20 October 2021 në 03:02

Hello Aferdita, your platelets are normal (144-444,000 mm3). You have mild anemia, which does not justify your complaint

Replay from Dr. Shk. Sotiraq Lako, më 20 October 2021 në 05:39

Hello Dr. Lako, I am 37 years old and I am writing to you. A few days ago, I did some blood tests for a general check-up (I have developed some white spots on my legs and was told it's due to a lack of vitamins). Here are the results of the tests: WBC 6.10 RBC 4.72. HGB 14.6 HCT 42.0 MCV 89.0 MCH 30.9 MCHC 34.8 PLT 210 RDW-SD 41.0 RDW-CV 12.9 PDW 13.2 MPV 11.4 P-LCR 34.7 PCT 0.24 NEUT 3.44 LYMPH 2.20 MONO 0.38 EO 0.07 BASO 0.01 ERYTHROSEDIMENTATION 11 PCR 2 D-DIMER 162 FIBRINOGEN 427 VITAMIN D 32.3 FERRITIN 20.7. Doctor, how do you assess these results, and do you think there is a need to take iron and if so, what type of iron? Waiting for your suggestions, I thank you and wish you good health and success in your work

Sent by Eda, më 20 October 2021 në 14:27

Hello Eda, the analysis is normal. Ferritin levels are at the lower limits of normal, it is advisable to use iron for 1.5 months. Discuss the white spots with a dermatologist

Replay from Dr. Shk. Sotiraq Lako, më 21 October 2021 në 02:25

Currently, the mother is very scared because the doctor recommended her not to use Cutason at all in order to find out the cause of this

Sent by Xheneta, më 20 October 2021 në 18:03

Hello Xhaneta, the disease your mother has is one that has difficulty in obtaining and maintaining the result. You might get a response from cortisone, but you can't use it indefinitely. Other alternatives will be evaluated, as written in the disease protocol. You will keep in touch with the hematologist of the Hematology Service, University Clinical Center of Kosovo (QKUK)

Replay from Dr. Shk. Sotiraq Lako, më 21 October 2021 në 02:28

Currently, mom has 19 thrombocytes because the doctor recommended her not to use cutason at all to learn the cause of this

Sent by Xheneta, më 20 October 2021 në 18:06

Hello Xhaneta, the disease your mother has is a disease that has difficulty in obtaining and maintaining the result. You may get a response from cortisone, but you can't use it indefinitely. Other alternatives will be evaluated, as written in the disease protocol. You will keep in touch with the hematologist of the Hematology Service, QKUK

Replay from Dr. Shk. Sotiraq Lako, më 21 October 2021 në 02:28

Currently, my mom has thrombocytosis because the doctor recommended her not to use cutason at all in order to learn the cause of this

Sent by Xheneta, më 20 October 2021 në 21:50

Hello Xhaneta, the disease your mother has is a disease that has difficulty in obtaining and maintaining the result. You might get a response from cortisone, but you can't use it indefinitely. Other alternatives will be evaluated, as written in the disease protocol. You will keep in touch with the hematologist of the Hematology Service, QKUK

Replay from Dr. Shk. Sotiraq Lako, më 21 October 2021 në 02:27

Currently, mom has 19 clotting issues because the doctor recommended her not to use cutason at all in order to find out the cause of this

Sent by Xheneta, më 21 October 2021 në 01:38

Hello Xhaneta, the disease your mother has is a disease that has difficulty in obtaining and keeping the result. You might get a response from cortisone, but you can't use it indefinitely. Other alternatives will be evaluated, as written in the disease protocol. You will keep in touch with the hematologist of the Hematology Service, QKUK

Replay from Dr. Shk. Sotiraq Lako, më 21 October 2021 në 02:27

Doctor, thank you very much for responding to the email and for your very valuable advice. You suggested that I take iron for 1.5 months since my ferritin level came out to be 20.7. I kindly ask for your help on what type of iron to take and what dosage. I am very grateful to you

Sent by Eda, më 21 October 2021 në 14:47

1-Heferol 350 mg 2 x 1 capsule/day – 60 capsules/month.
2-Vitamin C 100 mg 2 x 1 tablet/day – 60 tablets/month.

During or after meals

Replay from Dr. Shk. Sotiraq Lako, më 22 October 2021 në 10:53

Hello from Austria, I wanted to ask again about the platelets PLT 392, they are not high because here in Austria the max is 350, and do they have a connection with the spleen if they are high because I am having pain around my spleen and my left arm and I feel tired throughout my body

Sent by Aferdita, më 22 October 2021 në 04:05

Hello Aferdita, platelets 144,000 - 444,000 mm3. When they are over 500,000 mm3, they are considered elevated. 500,000 to 700,000 mm3, slight increase, 700,000 to 900,000 mm3 moderate increase, 900,000 - 1,000,000 mm3, severe increase, and over 1,000,000 mm3, extreme. You do not fall into any classification

Replay from Dr. Shk. Sotiraq Lako, më 22 October 2021 në 10:55

Hello Dr. Sotriaq Lako,

Thanking you immensely as this is not the first time I am writing to you, you have always provided explanations that have been very accurate. This time I am writing to you because my 12-year-old daughter, weighing 36 kg and 157 cm tall, showed clear signs of anorexia after getting her first period in April 2021, for which I have made an appointment with a psychologist, even though I tried hard all summer to make her eat healthily. I also did blood tests, the results of which are as follows: Vitamin D in May 2021 was 3, on date 6.11.2021 it was 21.6, ferritin 29.7 in May 2021 now 70.45, and serum iron 76.1. She has not received any iron treatment. She was treated only with vitamin D, a total of 45 pills, 800 units per day. The blood tests of 6.11.2021 are as follows; WBC 4.02; RBC 4.49; HGB 11.9; HCT 36.6%; MCV 81.5 fl; MCH 26.5 pg; MCHC 32.5 g/dl; PLATELETS 204; RDW-SD 38.4; RDW-CV 12.7; PDW 11.3 fl; MPV 10 fl; P-LCR 25%; PCT 0.2%; NEUTROPHILS 1.72; LYMPHOCYTES 1.91; MONOCYTES 0.29; EOSINOPHILS 0.08; BASOPHILS 0.02; ESR 6 mm/h. Waiting for your explanations. Gratitude and many thanks, Lorenca

Sent by Lorenca, më 07 November 2021 në 05:09

Hello Lorenca, first discuss the problem of anorexia and then repeat complete blood count and ferritinemia

Replay from Dr. Shk. Sotiraq Lako, më 08 November 2021 në 04:24

Hello Dr. Lako, I have pain on the left side under my ribs and it doesn't go away, thinking the problem is the spleen since the pain comes entirely from the left side including the arm, and now I can't sleep at night. I have a fever or was very feverish last night and today I went to the family doctor who did a complete blood count with these results WBC 7.6 RBC 5.27 HGB 13.9 HCT 43.2 MCV 82.0 MCH 26.4 MCHC 32.2 PLT 331 LY 3.0 MO 0.2 GR 4.4 RDW-CV 10.4 RDW-SD 34.1 PCT 0.32 MPV 9.7 PDW 17.5 and I don't know why the doctor told me I have a blood infection and told me to do an abdomen CT. I have done an abdomen ultrasound every month and it always comes out well. I wanted an answer from you since I have written to you many times before and you have always replied. Is it possible that an infection can arise only from the abdominal organs and cause a blood infection? And I wanted to know if it's possible that I got a blood infection from the COVID vaccine I received a week ago

Sent by Aferdita, më 10 November 2021 në 10:32

Hello Aferdita, your blood analysis is normal. A CT or MRI may help to clarify your pain

Replay from Dr. Shk. Sotiraq Lako, më 10 November 2021 në 13:13

Hello doctor, I am 21 years old and in my previous analysis, my erythrocyte sedimentation rate was 39, and you suggested that I repeat the blood analysis and fibrinogen after a few weeks. The results are as follows: Wbc(3.6), Rbc(4.28), Hgb(11.9), Plt(235), erythrocyte sedimentation rate(24), and fibrinogen(218). I would like to know what you think about these values? THANK YOU

Sent by Anxhela, më 13 November 2021 në 05:12

Hello Anxhela, The erythrocyte sedimentation rate and Fibrinogen are normal. A slight decrease in white cells and hemoglobin. You will do a ferritinemia test

Replay from Dr. Shk. Sotiraq Lako, më 13 November 2021 në 06:07

Hello doctor. I have a 9-year-old daughter and these are the results from her blood test: RBC 5.47, HGB 11.2, HCT 33.9, MCV 62.2, MCH 20.1, RDW-CV 15, Ferritin 37.1, Serum Iron 61. Everything else is normal. I'm waiting for the electrophoresis results. Please, doctor, I'm very worried about the RDW-CV being high since it was within the normal range in the analysis we did a month ago. Thank you

Sent by Olta, më 23 November 2021 në 05:11

Hello Olta, the evaluation will be done after the response of the hemoglobin electrophoresis

Replay from Dr. Shk. Sotiraq Lako, më 23 November 2021 në 06:05

Hello doctor. I have a 9-year-old daughter and her blood test results came back as follows RBC 5.47, HGB 11.2, HCT 33.9, MCV 62.2, MCH 20.1, RDW-CV 15, Ferritin 37.1, Sideremia 61. All the others are normal. I am waiting for the electrophoresis results. Please doctor, I am very worried about the RDW-CV which has come back high, as in the analysis we did a month ago it was within the normal range. Thank you

Sent by Olta, më 23 November 2021 në 06:05

Hello Olta, the assessment will be done after the response of the hemoglobin electrophoresis

Replay from Dr. Shk. Sotiraq Lako, më 24 November 2021 në 03:45

Hello doctor, I have a son who is 6 and a half years old. I did a blood test for him: RBC 5.08, Hgb 133, Hct 0.40, MCV 77.7, MCH 26.2, MCHC 337, RDW-SD 41.0, RDW-CV 12.9, WBC-Leukocyte 7.16, Lymph 43.4, Mono 4.0, Eos 2.3, Baso 1.0, Neut 49.3, Lymph# 3.11, Mono# 0.29, Eos# 0.16, Baso# 0.07, Neut# 3.53, PLT-Platelet 127, PCT 0.16, MPV 12.4, PDW 16.6, PLCC 55, PLCR 43.6. Thank you for understanding, waiting for a response

Sent by Persiana, më 24 November 2021 në 15:47

Hello Persiana, except for the platelet value of 127,000 mm3, the others are normal. The analysis will be repeated and the number of platelets on the slide will be increased

Replay from Dr. Shk. Sotiraq Lako, më 25 November 2021 në 05:21

Hello Doctor. I am resending my daughter's blood tests once again, but this time along with the electrophoresis result. RBC 5.47, HGB 11.2, HCT 33.9, MCV 62.2, MCH 20.1, RDW-CV 15, Ferritin 37.1, Sideremia 61, Platelets in smear 420,000. Electrophoresis HbA1 93.5, HbA2 3.9, HbF 2.6, HbS 0. Appreciation and thanks

Sent by Olta, më 25 November 2021 në 03:42

Hello Olta, your daughter is a carrier of thalassemia (Thalassemia Minor). There is no need for treatment. It is certain that at least one of the parents has it. If you have other children, they should also be evaluated

Replay from Dr. Shk. Sotiraq Lako, më 25 November 2021 në 05:22

Hello doctor. I am resending my 9-year-old daughter's blood tests, but this time along with the electrophoresis response. RBC 5.47, HGB 11.2, HCT 33.9, MCV 62.2, MCH 20.1, RDW-CV 15, Ferritin 37.1, Sideremia 61, Platelets on slide 420,000. Electrophoresis HbA1 93.5, HbA2 3.9, HbF 2.6, HbS 0. Appreciation and thanks

Sent by Olta, më 25 November 2021 në 03:56

Hello Olta, your daughter is a carrier of thalassemia (Thalassemia Minor). There is no need for medication. It is certain that at least one of the parents has it. If you have other children, they should be evaluated as well

Replay from Dr. Shk. Sotiraq Lako, më 25 November 2021 në 05:22

Hello doctor. I am resending the blood tests of my 9-year-old daughter, but this time together with the response of the electrophoresis. RBC 5.47, HGB 11.2, HCT 33.9, MCV 62.2, MCH 20.1, RDW-CV 15, Ferritin 37.1, Serum Iron 61, Platelets in smear 420,000. Electrophoresis HbA1 93.5, HbA2 3.9, HbF 2.6, HbS 0. Appreciation and thanks

Sent by Olta, më 25 November 2021 në 04:11

Hello Olta, your daughter is a carrier of thalassemia (Thalassemia Minor). There is no need for treatment. It's certain that at least one of the parents has it. If you have other children, they should be evaluated as well

Replay from Dr. Shk. Sotiraq Lako, më 25 November 2021 në 05:23

Hello doctor. I am resending my 9-year-old daughter's blood tests again, but this time along with the electrophoresis response. RBC 5.47, HGB 11.2, HCT 33.9, MCV 62.2, MCH 20.1, RDW-CV 15, Ferritin 37.1, Sideremia 61, Platelets in smear 420,000. Electrophoresis HbA1 93.5, HbA2 3.9, HbF 2.6, HbS 0. Appreciation and thanks

Sent by Olta, më 25 November 2021 në 04:45

Hello Olta, your daughter is a carrier of thalassemia (Thalassemia Minor). There is no need for treatment. It is certain that at least one of the parents has it. If you have other children, they should be assessed as well

Replay from Dr. Shk. Sotiraq Lako, më 25 November 2021 në 05:23

Hello, doctor. I am resending the blood tests of my 9-year-old daughter, but this time along with the electrophoresis response. RBC 5.47, HGB 11.2, HCT 33.9, MCV 62.2, MCH 20.1, RDW-CV 15, Ferritin 37.1, Sideremia 61, Platelets on slide 420,000. Electrophoresis HbA1 93.5, HbA2 3.9, HbF 2.6, HbS 0. Appreciation and thanks

Sent by Olta, më 25 November 2021 në 04:50

Hello Olta, your daughter is a carrier of thalassemia (Thalassemia Minor). There is no need for medication. It is certain that at least one of the parents has it. If you have other children, they should be assessed as well

Replay from Dr. Shk. Sotiraq Lako, më 25 November 2021 në 05:22

Hello doctor. I am resending the blood tests of my 9-year-old daughter, but this time along with the electrophoresis response. RBC 5.47, HGB 11.2, HCT 33.9, MCV 62.2, MCH 20.1, RDW-CV 15, Ferritin 37.1, Sideremia 61, Platelets in smear 420,000. Electrophoresis HbA1 93.5, HbA2 3.9, HbF 2.6, HbS 0. Appreciation and thanks

Sent by Olta, më 25 November 2021 në 05:13

Hello Olta, your daughter is a carrier of thalassemia (Thalassemia Minor). There is no need for medication. It is certain that at least one of the parents has it. If you have other children, they should be evaluated as well

Replay from Dr. Shk. Sotiraq Lako, më 25 November 2021 në 05:22

Hello doctor! I have had a complete blood test and these are the results: WBC - 12.53, NEU% 67.3, LYM% 24.9, NEU# 8.43, MONO 0.85
RBC 5.34, HCT 34.7, HGB 10.6
MCV 65.0, MCH-19.9, MCHC 30.5
RDW-CV-18.5, PLT 446,
PCT 0.46, ESR 20
I am 21 years old, I feel tired and weak, I have hair loss, cracks at the corner of the mouth, before performing the analysis 4 days ago, I had a sore throat and fever for 2 days.
Thank you

Sent by Arta, më 27 November 2021 në 15:08

Hello Ana, Arta, you likely have mild anemia probably due to iron deficiency.
1. Heferol 350 mg 2 x 1 capsule/day – 60 capsules/month.
2. Vitamin C 100 mg 2 x 1 tablet/day – 60 tablets/month.
3. Vitamin B6 25 mg 2 x 1 tablet/day – 60 tablets/month.
Take during or after meals, for at least 3 consecutive months. The patient will be rechecked with a complete blood count after 1 month of treatment and after 3 months of treatment with a complete blood count + ferritinemia + Hemoglobin Electrophoresis (the minimal normal value of ferritinemia for adult females is 20 ng/ml and the optimal value is 60-70 ng/ml)

Replay from Dr. Shk. Sotiraq Lako, më 29 November 2021 në 04:54

Honored Doctor, thank you very much for your response! Is there a problem that RBC with a value of 5.34 are slightly high, or are they considered normal at this value?

Sent by Arta, më 29 November 2021 në 07:43

Hello Arta, take the medicine and do the tests as I have written to you

Replay from Dr. Shk. Sotiraq Lako, më 30 November 2021 në 10:06

Hello Dr. Lako,

I am writing to you about a concern of mine that I'm suffering from greatly and don't know where else to turn to but to you. I am experiencing pain in the upper left side of my abdomen and arm. I have had this pain for 6 months. For a year now, every month, I have undergone ultrasound and lab tests, which always come back fine. I have often had bone pain, but now for a month, I have had pain in my left arm and legs, but what worries me now is that I am also having toothaches. Three weeks ago, I was at the family doctor who did a complete blood count, and everything was fine. I also had an abdominal CT scan, which was fine, but I just want to know if a CT scan clearly shows every organ in the abdomen, because I am obsessively worried about leukemia. Are the CT scan and tests enough? And I wanted to know if there's a connection between toothaches and leukemia because yesterday in the tests, where my doctor did a complete blood count, she told me everything was fine, but I am obsessively worried because my WBC was 8.2 whereas three weeks ago it was 7.6. I await a response from you, dear sir

Sent by Aferdita, më 02 December 2021 në 02:18

Hello Aferdita, you do not have Leukemia. You are in a country with very advanced medicine

Replay from Dr. Shk. Sotiraq Lako, më 02 December 2021 në 04:08

Hello doctor, I thank you if you give me an answer. Ten years ago, I was diagnosed with idiopathic thrombocytopenic purpura with counts reaching up to 7000. I was treated with cortisone and after two years, I had my spleen removed and I have been very well for 8 years. Please reply to me if I can get pregnant. Does the removal of the spleen or having suffered from thrombocytopenia create a problem? The current count is 300,000

Sent by Ermelinda, më 08 December 2021 në 13:24

Hello Ermelinda, you have a complete long-term remission and this is positive. As a rule, pregnancy should proceed normally, but autoimmune diseases always have the possibility of recurrence. The removal of the spleen does not hinder the normal progression of pregnancy

Replay from Dr. Shk. Sotiraq Lako, më 09 December 2021 në 04:08

Hello doctor,
I am 23 years old and have localized hair loss in several areas.
After doing blood tests, I have these results:
MONO%: 9.1
RBC: 6.29
HGB: 17.5
MCV: 82
MCH: 27.8
RDW-SD: 36.9
Please, I would greatly appreciate your help.
Thank you and good work!

Sent by Albion, më 09 December 2021 në 14:10

Hello Albion, you have an increased value of red blood cells and hemoglobin, but they have no connection with hair loss

Replay from Dr. Shk. Sotiraq Lako, më 10 December 2021 në 02:51

Hello doctor. I have done a blood analysis due to the appearance of reddish-brown spots, which then turn brown. They have appeared on my chest, abdomen, and slightly on my arms. The parameters of the analysis are: Complete Blood Count
WBC (Leukocytes) 3.77 x10^3/uL 4 - 11 *
RBC (Erythrocytes) 4.58 x10^6/uL 4 - 5
HGB (Hemoglobin) 13.3 g/dL 12 - 15
HCT (Hematocrit) 39.8 % 36 - 44
MCV 86.9 fL 80 - 100
MCH 29.0 pg 26 - 34
MCHC 33.4 g/dL 31 - 37
PLT (Platelets) 262 x10^3/uL 150 - 450
LYM% 42.7 % 24 - 44
MONO% 8.8 % 3 - 10
EO% 2.1 % 0 - 5
BASO% 1.1 % 0 - 1 *
Neut% 45.3 % 40 - 60
Lym 1.61 x10^3/uL -
MONO 0.33 x10^3/uL -
EO 0.08 x10^3/uL -
BASO 0.04 x10^3/uL -
Neut 1.71 x10^3/uL 1.8 - 8.47 *
RDW -CV 13.2 % 0 - 14.5
PDW 13.6 fL 9.5 - 18.5
MPV 11.3 fL 8.5 - 13.5
PCT 0.29 % 0.17 - 0.35
Thank you. Ermira

Sent by Ermira, më 13 December 2021 në 17:13

Hello Ermira, besides a slight decrease in white blood cells, which is clinically insignificant, the rest are normal. There is no treatment, the analysis is repeated after 2-3 weeks. They are not related to your concern

Replay from Dr. Shk. Sotiraq Lako, më 14 December 2021 në 06:58

Good evening, doctor, I hope you are well. The biochemical test analysis shows these parameters:
- Glycemia (Essel) 103.80 mg
- Urea Nitrogen (BUN) 39.60 mg
- Creatinine 0.68 mg
- ALT (SGPT) 18.5 U
- AST (SGOT) 19.7 U
- Total Bilirubin 0.35 mg
- Direct Bilirubin 0.11 mg
- Cholesterol 197.30 mg
- HDL cholesterol 61.10 mg
- LDL cholesterol 128.70 mg
- Triglycerides 77.00

I am concerned about the numbness of the lips for the past 3 days, especially the upper one, could I get some information, all the best. With respect, Brunilda

Sent by bruna, më 15 December 2021 në 13:31

Hello Bruna, your tests are normal. You will discuss with the neurologist

Replay from Dr. Shk. Sotiraq Lako, më 16 December 2021 në 06:30

Congratulations, doctor, for getting the answers! Respect! I wish you health and success!

Sent by Nela, më 16 December 2021 në 04:00

Thank you, Nela

Replay from Dr. Shk. Sotiraq Lako, më 16 December 2021 në 06:31

Hello doctor! I am 27 years old and have a diagnosed problem since May 2021 through a biopsy in Italy, minimal change glomerulonephritis. Initially, the total proteinuria was 3g/24h, I started treatment with ramipril and simvastatin as my fats were high. During the summer, I started cortisone therapy but turned out to be resistant and it had no effect. At the end of August, I received rituximab IV and left the hospital with clexane 0.4 once a day since my d-dimer was high and one of the complications of this pathology is DVT. After two months, I had a decrease in proteinuria from 2.6 to 1.5 and a doctor switched me from clexane 0.4 to xarelto 15 mg for DVT prevention reasons. My question is what tests I can do to monitor or avoid possible hemorrhage from xarelto, given that the reduction in proteinuria may continue? Can it be monitored with APTT or something else? I thank you if you take my concern into consideration

Sent by Silvia, më 11 January 2022 në 12:40

Hello Silvia, as a rule, there is no need to monitor Xarelto. But in some cases, it is accompanied by an extension of PT and APTT. These are tests that you can do

Replay from Dr. Shk. Sotiraq Lako, më 12 January 2022 në 03:40

Hello Silvia, as a rule, there's no need to monitor Xarelto. But in some cases, it is accompanied by an extension of PT and APTT. These are analyses that you can do

Replay from Dr. Shk. Sotiraq Lako, më 12 January 2022 në 03:40

Hello doctor! I am 27 years old and have been diagnosed in May 2021 through a biopsy in Italy with minimal change glomerulonephritis. Initially, the total proteinuria was 3g/24 h, and I started treatment with ramipril and simvastatin since I had high cholesterol. During the summer, I began cortisone therapy but turned out to be resistant and it had no effect. At the end of August, I underwent IV rituximab and was discharged from the hospital with clexane 0.4 once a day since my d-dimer level was high and one of the complications of this pathology is DVT. After two months, my proteinuria decreased from 2.6 to 1.5 and a doctor switched me from clexane 0.4 to xarelto 15 mg for DVT prevention reasons. My question is, what tests can I undergo to monitor or avoid potential bleeding from xarelto, considering that the reduction in proteinuria may continue? Can it be monitored with APTT or something else? I appreciate it if you consider my concern

Sent by Silvia, më 11 January 2022 në 12:42

Hello Silvia, as a rule, there is no need to monitor Xarelto. But in some cases, it is accompanied by prolongation of PT and APTT. These are tests that you can do

Replay from Dr. Shk. Sotiraq Lako, më 12 January 2022 në 03:41

Hello doctor, I wanted to know your opinion regarding the results of my father's lipid tests (age 51): total cholesterol (251 mg/dL), Triglycerides (237 mg/dl), HDL cholesterol (18 mg/dl), and LDL cholesterol (185.6 mg/dl).
Thank you

Sent by Anxhela, më 17 January 2022 në 14:03

Hello Anxhela, you will discuss with the cardiologist or endocrinologist

Replay from Dr. Shk. Sotiraq Lako, më 18 January 2022 në 04:32

Hello Doctor,
My daughters are 2 and a half years old and have just gotten over COVID with temperatures of 39-40 degrees for a week straight. One of them is a bit better, while the other still won't eat anything and keeps her hand on her stomach and cries from pain. I did their blood tests and Ferritin came out 279, Neutrophils are low while Lymphocytes are high. What worries me the most is the SGOT-AST, which came out at 56 from a norm of 0-40. Should I be concerned about this and what do you suggest I do? Thank you very much

Sent by Ornela, më 25 January 2022 në 04:22

Hello Ornela, up to the age of 5, children have more lymphocytes than neutrophils. Ferritinemia is an indicator of inflammation, so any inflammatory condition increases it, but it does not cause damage to the body. Transaminases may increase due to the effect of viral infections, medications. They are repeated after a few weeks

Replay from Dr. Shk. Sotiraq Lako, më 30 January 2022 në 01:47

Hello Doctor,
My girls are 2 and a half years old and have just gone through covid with a temperature of 39-40 for a week straight. One of them recovered a bit while the other still won't put anything in her mouth and keeps her hand on her stomach and cries from the pain. I did their blood tests and Ferritin came out at 279, Neutrophils are low while Lymphocytes are high. What concerns me more is the SGOT-AST which came out at 56 from 0-40 which is the norm. Should I be worried about this and what do you suggest I do? Thank you very much

Sent by Ornela, më 26 January 2022 në 16:00

Hello Ornela, up until the age of 5, children have more lymphocytes than neutrophils. Ferritinemia is an indicator of inflammation, so any inflammatory condition increases it, but it does not cause damage to the organism. Transaminases may increase due to the effect of viral infections, medications. They are repeated after a few weeks

Replay from Dr. Shk. Sotiraq Lako, më 30 January 2022 në 01:48

Doctor, from another blood test done at a private laboratory, the PLT result came out to be 271 and the total platelets in the smear were 284,200. They explained to me that it also depends on how the blood was drawn because in the collection it turned out that the blood was on dialysis, taken with difficulty, and this has affected the results because it was done twice in the state laboratory where the blood was barely coming out and the syringe was filled with difficulty, resulting in the blood being on dialysis according to the lab technician who did the analysis. Meanwhile, in the second private laboratory, the blood was taken more easily and the platelet results were significantly better. Do you advise me to repeat the tests again?

Sent by Iris, më 27 January 2022 në 11:08

Okay Iris for the platelets. Do ferritinemia and hemoglobin electrophoresis for mild anemia

Replay from Dr. Shk. Sotiraq Lako, më 30 January 2022 në 02:02

Doctor, from another blood test done at a private laboratory, the PLT result came out as 271 and the total platelets in the smear were 284,200, where it was explained to me that it also depends on how the blood was taken because in the taken sample, the blood was in dialysis, taken with force, and it has affected the outcome because it was done twice in the state laboratory where the blood barely came out and the syringe was filled with difficulty, which resulted in the blood being in dialysis according to the technician who did the analysis, whereas in the second private laboratory, the blood was taken more easily and the platelet results were noticeably better. Would you advise me to repeat the tests again?

Sent by Iris, më 27 January 2022 në 13:59

Okay, Iris, for the platelets. Do ferritinemia and hemoglobin electrophoresis for mild anemia

Replay from Dr. Shk. Sotiraq Lako, më 30 January 2022 në 02:02

Doctor, from another blood test done in a private laboratory, the result of PLT came out to be 271 and the total platelets in the smear were 284,200, where it was explained to me that it also depends on the way the blood was drawn because in the drawing that was done, the blood was in dialysis taken with effort and it has been affected because it was done twice in the state laboratory where the blood barely came out and the syringe was filled with difficulty, which resulted in the blood being in dialysis according to the lab technician who did the analysis. Whereas in the second private laboratory, the blood was taken more easily and the platelet results were noticeably better. Would you advise me to repeat the tests again?

Sent by Iris, më 31 January 2022 në 11:48

Okay, Iris, for the platelets. Do ferritinemia and hemoglobin electrophoresis for mild anemia

Replay from Dr. Shk. Sotiraq Lako, më 01 February 2022 në 09:31

Greetings, I just received the lab results and these are the values:
WBC 9.80; RBC 5.81; HGB 13.4; HCT 39.3; MCV 67.6; MCHC 34.1; MCH 23.1; RDW-SD 38.7; RDW-CV 16.5; Ferritin 18.7; Erythrocyte sedimentation rate 5

Sent by Ana4, më 04 February 2022 në 04:13

Hello Ana4, you are likely a carrier of Thalassemia and will undergo hemoglobin electrophoresis. You also need to be treated for Iron Deficiency

Replay from Dr. Shk. Sotiraq Lako, më 04 February 2022 në 04:17

Greetings, I just received the lab results and these are the values
WBC 9.80; RBC 5.81; HGB 13.4; HCT 39.3; MCV 67.6; MCHC 34.1; MCH 23.1; RDW-SD 38.7; RDW-CV 16.5; Ferritinemia 18.7; Erythrocyte sedimentation rate 5

Sent by Ana4, më 04 February 2022 në 04:16

Hello Ana4, you are probably a carrier of Thalassemia and will undergo hemoglobin electrophoresis. You also need to be treated for Iron Deficiency

Replay from Dr. Shk. Sotiraq Lako, më 04 February 2022 në 04:17

Greetings, I just received the test results and these are the values:
- WBC 9.80;
- RBC 5.81;
- HGB 13.4;
- HCT 39.3;
- MCV 67.6;
- MCHC 34.1;
- MCH 23.1;
- RDW-SD 38.7;
- RDW-CV 16.5;
- Ferritinemia 18.7;
- Erythrocyte Sedimentation Rate 5

Sent by Ana4, më 04 February 2022 në 04:43

Hello Ana4, you are likely a carrier of Thalassemia and will undergo hemoglobin electrophoresis. You also need to be treated for Iron Deficiency

Replay from Dr. Shk. Sotiraq Lako, më 05 February 2022 në 04:35

Doctor, from another blood test done in a private laboratory, the PLT result came out to 271 and the total platelets in the smear were 284,200, where I was explained that it also depends on how the blood was drawn because in the drawing it resulted that the blood was in dialysis, taken forcefully, and it influenced because it was done twice in the state laboratory where the blood barely came out and filling the syringe was difficult, which resulted in the blood being in dialysis according to the lab technician who did the analysis, while in the second private laboratory, the blood was taken more easily and the platelet results were significantly better. Do you advise me to repeat the tests again?

Sent by Iris, më 04 February 2022 në 09:25

Okay, Iris, regarding the platelets. Do the ferritinemia and hemoglobin electrophoresis for mild anemia

Replay from Dr. Shk. Sotiraq Lako, më 05 February 2022 në 04:34

Doctor, from another blood test done in a private laboratory, the PLT result came out to be 271 and the total platelets in the smear were 284,200, where they explained to me that it also depends on the way the blood was drawn because in the drawing the blood was in dialysis, taken forcefully, and it has influenced because it was done twice in the state laboratory where the blood barely came out and the syringe was filled with difficulty, which also resulted in the blood in dialysis according to the lab technician who conducted the analysis, whereas in the second private laboratory the blood was taken more easily and the platelet results were noticeably better. Do you advise me to repeat the tests again?

Sent by Iris, më 04 February 2022 në 11:46

Okay, Iris, for the platelets. Do the ferritinemia and hemoglobin electrophoresis for mild anemia

Replay from Dr. Shk. Sotiraq Lako, më 05 February 2022 në 04:34

Doctor, from another blood test done in a private laboratory, the PLT result came out as 271 and the total platelets in the smear as 284,200, where they explained to me that it also depends on the way the blood was taken because in the taken sample, the blood was in dialysis, taken with effort, and it affected the results because it was done twice in the state laboratory where the blood barely came out and filling the syringe was difficult, which also resulted in the blood being in dialysis according to the lab technician who conducted the analysis, while in the second private laboratory the blood was taken more easily and the platelet results were significantly better. Do you advise me to repeat the tests again?

Sent by Iris, më 04 February 2022 në 11:46

Okay Iris for the platelets. Do ferritinemia and hemoglobin electrophoresis for mild anemia

Replay from Dr. Shk. Sotiraq Lako, më 05 February 2022 në 04:34

Hello Doctor, a few days ago I had these tests done and these were the results. Please tell me what the tests indicate and what I should take. WBC 6.84 [10^3/uL] reference range (4-10), RBC 5.71 [10^6/uL] (4.2 - 5.8), HGB 13[g/dL] (12-16.5), HCT 38.5 [%] (35-50), MCV 67.4 [fL] (82-99.5), MCH 22.8 [pg] (27-32), MCHC 33.8 [g/dL] (32-36), PLT 231 [10^3/uL] (150-400), RDW-SD 38.2[fL] (37-54), RDW-CV 16 [%] (11-16), PDW 15.2[fL] (9.4-18), MPV 11.6[fL] (8.2 - 12.4), P-LCR 38.7[%] (14-45), PCT 0.27 [%] (0.17-0.35), NEUT 3.70 [10^3/uL] 54.1 [%] (40-60), LYMPH 2.31[10^3/uL] 33.8[%] (25 -40), MONO 0.67 [10^3/uL] 9.8 [%] (2-8), EO 0.11 [10^3/uL] 1.6[%] (1-4), BASO 0.05 [10^3/uL] 0.7 [%] (0-1), ERYTHROCYTE SEDIMENTATION RATE 5 mm/h. Ferritin 53.0 ng/ml. Folic acid 1.76 ng/ml (3-17), vitamin B12 301 pg/ml (193-982)

Sent by Ana, më 08 February 2022 në 05:42

Hello Ana, you likely have Thalassemia minor and a Folic Acid deficiency. The first needs to be confirmed with Hemoglobin Electrophoresis, the second can be treated

Replay from Dr. Shk. Sotiraq Lako, më 08 February 2022 në 07:52

Hello Doctor, a few days ago I had these tests done and these values came out. Please tell me what the analyses indicate and what I should take. WBC 6.84 [10^3/uL] reference value (4-10) RBC 5.71 [10^6/uL] (4.2 - 5.8), HGB 13[g/dL] (12-16.5), HCT 38.5 [%] (35-50), MCV 67.4 [fL] (82-99.5), MCH 22.8 [pg] (27-32), MCHC 33.8[g/dL] (32-36), PLT 231 [10^3/uL] (150-400), RDW-SD 38.2[fL] (37-54), RDW-CV 16 [%] (11-16), PDW 15.2[fL] (9.4-18), MPV 11.6[fL] (8.2 - 12.4), P-LCR 38.7[%] (14-45), PCT 0.27 [%] (0.17-0.35), NEUT 3.70 [10^3/uL] 54.1 [%] (40-60), LYMPH 2.31[10^3/uL] 33.8[%] (25 -40), MONO 0.67 [10^3/uL] 9.8 [%] (2-8), EO 0.11 [10^3/uL] 1.6[%] (1-4), BASO 0.05 [10^3/uL] 0.7 [%] (0-1), ERYTHROCYTE SEDIMENTATION RATE 5 mm/h. Ferritin 53.0 ng/ml. Folic acid 1.76 ng/ml (3-17), vitamin B12 301 pg/ml (193-982)

Sent by Ana, më 08 February 2022 në 05:56

Hello Ana, you probably have Thalassemia minor and a reduction of Folic Acid. The first needs to be confirmed by Hemoglobin Electrophoresis, the second is treatable

Replay from Dr. Shk. Sotiraq Lako, më 08 February 2022 në 07:52

Hello Doctor. I hope you and your family are well! Please, if you can, tell me how I can treat the deficiency of folic acid with a current value of 1.76 ng/ml

Sent by Ana, më 09 February 2022 në 08:23

Hello Ana, it is treated with Folic Acid

Replay from Dr. Shk. Sotiraq Lako, më 10 February 2022 në 02:53

Hello doctor, I wanted to ask you for some information. My mother has been sick for a few days with a temperature of 39.3°C for 4 days, then she had a cough and terrible stomach pain. After that, we did an abdominal ultrasound and the doctor told her she has a stone in the bile duct. He gave her 10 syringes that would help in removing the stone. Then she had stomach problems, felt nauseous, and had body weakness. She underwent laboratory tests which showed the following values: RBC 4.64, HGB 13.1g/dL, HCT 41.5%, MCV 89.4fL, MCH 28.2pg, MCHC 31.5g/dL, RDW 15.4%, WBC 66.6K-uL, Neutrophils (absolute) 39.8K-uL, Lymphocytes (absolute) 9.6K-uL, Monocytes (absolute) 4.9K-uL, Eosinophils (absolute) 1.5K-uL, Basophils 0.0K-uL, Neutrophils 59.8%, Lymphocytes 14.4%, Monocytes 7.30%, Eosinophils 2.3%, Basophils 0.0%, Platelets 758K-uL, PDW 13.5fL, MPV 8.5fL, Segmented neutrophils 50%, Band neutrophils 22%, Eosinophils 2%, Basophils 4%, Lymphocytes 7%, Monocytes 6%. In the doctor's comments, it states: Blasts 2%, Promyelocytes 1%, Myelocytes 2%, Metamyelocytes 4%, and the diagnosis based on the tests is Chronic Myeloid Leukemia. The spleen is 5-6, the liver is 4-5, and for this disease, the doctor has prescribed Allopurinol 100ml and Hydroxycarbamide 500mg, which she needs to take three times a day and after a week, he said to do the tests again. She needs to use these medications for a month. Please, doctor, send me a response because I feel very stressed about my mother. Thank you

Sent by Frosina hida, më 10 February 2022 në 10:56

Hello Frosina, the data goes for CML (Chronic Myeloid Leukemia). The diagnosis is confirmed with myelogram and genetic analysis (BCR-ABL) and treatment is started. Hydroxyurea is no longer the treatment of choice. Imatinib, Tasigna are used, which you can get for free if you go to the Hematology Service, UHCK (University Clinical Center of Kosovo)

Replay from Dr. Shk. Sotiraq Lako, më 28 February 2022 në 07:54

Hello Dr. Sotiraqi! For several months, I have been experiencing weakness, dizziness, a white tongue, and an irritated throat. Please, I need your help?! My blood tests show the following abnormalities: Ferritin=204, total bilirubin 1.921, ketones=10, I am a carrier of Mediterranean anemia, and I had Covid 19 in 2011 which was treated with antibiotics. I would greatly appreciate your response! Thank you

Sent by Ervehe, më 28 February 2022 në 06:45

Hello Ervehe, the changes you have may be related to the fact that you are a carrier of Thalassemia

Replay from Dr. Shk. Sotiraq Lako, më 28 February 2022 në 07:55

Hello,
I did an electrophoresis of hemoglobin for my 18-month-old daughter, and only her HbF was high at 2.6 (while the others were within the normal range.
What does this indicate???

Sent by Ana, më 01 March 2022 në 08:35

Hello Ana, it's early to do hemoglobin electrophoresis. After the age of 4 years, it is claimed that HbF reaches the minimum value. Therefore, repeat after the age of 4 years

Replay from Dr. Shk. Sotiraq Lako, më 02 March 2022 në 02:47

Hello doctor,
Best wishes for what you do in serving the patients. I have a concern. My mom is 78 years old and takes blood pressure medication, and also her left kidney continuously produces stones and often in the urine analysis, albumin is found to be elevated and the doctor has treated her with antibiotics. She had her gallbladder removed 10 years ago because she had stones. About a year ago, during the pandemic period, she started having stomach burning and scalp burning. We did blood tests where it turned out she had anemia with Hb 10.4 and ferritin 62. These were the results that were above normal. She took medication for anemia for 1 month but still continued to have stomach burning and scalp burning. The situation gradually worsened and she ended up being hospitalized. In the hospital, they put her on IV because she also had high blood pressure and difficulty breathing and belching. Her blood pressure dropped to 7 over 5 and during the IV administration, at one point her whole body turned black and she lost consciousness but this was only for a few seconds and the body returned to normal parameters, so the skin discoloration of the body went away. The doctor told us that she has panic attacks. They also did a head scan and the answer was that there were no serious issues but just age-related problems. For 10 days in the hospital, they gave her IVs, mannitol, and physiological saline, and blood thinning injections in the abdomen. A few days after leaving the hospital, she continued to have scalp burning and the doctor said it would pass. She got better but this scalp and stomach burning has troubled her again 3 times since leaving the hospital in July. Every time she has scalp burning, she also gets stomach burning and can't breathe fully and belches, it feels like she has difficulty in her chest as if she's suffocating. With IVs in the hospital, she recovers. The doctor continues to say she suffers from panic attacks. Two months ago, she got COVID, took the

Sent by Leta, më 01 March 2022 në 22:59

Hello Leta, if the hemoglobin is 10.4 gr/dl, it is classified as mild anemia and does not cause any of the concerns you have written about. Of course, it is worth evaluating properly. I don't know if you have consulted with a neurologist, gastroenterologist. If not, you should have these consultations

Replay from Dr. Shk. Sotiraq Lako, më 02 March 2022 në 02:51

I'm sorry, Doctor, for bothering you again about my mother's problem. She consulted with a neurologist and received medication, but what concerns me at the moment is that after her crown fell out two months ago, she had a blood coagulation test and from <0.5, which is the norm, my mother's result was 1.2. The doctor gave her blood-thinning injections to be administered in the abdomen, 400 mg, and repeated the test after the medication, and it came out to 0.94. She took the abdomen injections again for blood thinning for another 5 days. When she repeated the test immediately after the medication, it came out to 1.25. The doctor has now given her Lixiana 60 mg pills for 2 weeks and has said that she needs to repeat the blood coagulation test after finishing the medication. We are worried whether the medication will do its job and hope that the coagulation test will return to normal values. Could you give me any opinion or suggestion on why, despite being under medication, the blood coagulation values for my mother have increased, and whether these Lixiana 60 mg pills might be more effective than the injections? Is it very concerning for my mother's age, 78 years, this last blood coagulation test of 1.25, and could you suggest any better medication if my mother’s blood coagulation test, after 2 weeks, does not come out well? I thank you from the bottom of my heart for the time you are giving us

Sent by Leta, më 02 March 2022 në 21:49

Hello Leta, you are talking about D-dimer. For a person aged 78 years, the normal value is age X 10 = 780 ng/ml for your case. Prophylaxis is used for an increase of 5-6 times above the norm (4,000-5,000 ng/ml). I do not see any concern in the value of 1.25 = 1,250 ng/ml

Replay from Dr. Shk. Sotiraq Lako, më 03 March 2022 në 06:14

Doctor, from another blood test done in a private laboratory, the PLT result came out to be 271 and the total platelets in the smear were 284,200, where it was explained to me that it also depends on the way the blood was taken because in the taken sample, the blood was in dialysis, taken with effort, and it affected the results because it was done twice in the state laboratory where the blood barely came out and filling the syringe was difficult, which resulted in the blood being in dialysis according to the lab technician who did the analysis, whereas in the second private laboratory, the blood was taken more easily and the platelet results were significantly better. Do you advise me to repeat the tests again?

Sent by Iris, më 03 March 2022 në 16:16

Hello Iris, in both cases, it is considered a normal value (144-444,000 mm3)

Replay from Dr. Shk. Sotiraq Lako, më 04 March 2022 në 08:30

Hello doctor, first, I want to congratulate you for your work and professionalism. I am pregnant in the first trimester, I have done the d-dimer test and the result was 1843ng/ml, I used aspirin for 10 days and it only dropped to 1730. The gynecologist told me that it is not problematic and to continue with aspirin, but from my research, I found that the values of d-dimer in pregnancy vary by trimester, for example: 1. First trimester. The amount increases one and a half times compared to the amount before conception (on average, it should not exceed 750 ng/ml); 2. Second trimester. The indicators double (should not exceed 1000 ng/ml); 3. Third trimester. The amount triples (no more than 1500 ng/ml). I am still in the first trimester and these values concern me, especially for the fetus. I emphasize that I do not have problems with veins or anything else except for vomiting, i.e., problems with nausea. What do you think about my tests, are they concerning and how do they affect the fetus?!

Thank you in advance!

Sent by Arta, më 06 March 2022 në 06:01

Hello Arta, the value of D-dimer increases during pregnancy, as you have read. For pregnant women, the following D-Dimer reference value ranges are proposed: in the first trimester of pregnancy, 167-721 ng/mL; in the second trimester of pregnancy, 298-1653 ng/mL; and in the third trimester of pregnancy, 483-2256 ng/mL. Siennicka, Aldona, et al. "Reference values of D-Dimers and fibrinogen in the course of physiological pregnancy: the potential impact of selected risk factors—a pilot study." BioMed Research International 2020 (2020)

Replay from Dr. Shk. Sotiraq Lako, më 07 March 2022 në 10:02

Hello doctor, first of all, I congratulate you on your work and professionalism. I am pregnant in the first trimester, I had a d-dimer analysis and the result was 1843ng/ml, I used aspirin for 10 days and it only dropped to 1730. The gynecologist told me that it is not problematic, continue with aspirin, but from the research I did, I saw that the d-dimer values in pregnancy vary by trimester, for example: 1. First trimester. The amount increases one and a half times compared to the amount before conception (on average, it should not exceed 750 ng/ml);
2. Second trimester. The indicators double (do not exceed 1000 ng/ml);
3. Third trimester. The amount triples (no more than 1500 ng/ml).
I am still in the first trimester and these values worry me, especially for the fetus. I emphasize that I have no problems with veins and nothing else except for vomiting, i.e., problems with nausea. What do you think about my analyses, are they worrisome, and how do they affect the fetus?!

Thank you in advance!

Sent by Arta, më 06 March 2022 në 06:06

Hello Arta, the value of D-dimer increases during pregnancy, as you have read. For pregnant women, the following D-Dimer reference value ranges are proposed: in the first trimester of pregnancy, 167-721 ng/mL; in the second trimester of pregnancy, 298-1653 ng/mL; and in the third trimester of pregnancy, 483-2256 ng/mL. Siennicka, Aldona, et al. "Reference values of D-Dimers and fibrinogen in the course of physiological pregnancy: the potential impact of selected risk factors—a pilot study." BioMed Research International 2020 (2020)

Replay from Dr. Shk. Sotiraq Lako, më 07 March 2022 në 10:02

Hello doctor, first of all, congratulations on your work and professionalism. I am a pregnant woman in the first trimester, I have done the d-dimer analysis and the result was 1843ng/ml, I used aspirin for 10 days and it only dropped to 1730. The gynecologist told me that it is not problematic to continue with aspirin but from the research I did, I saw that d-dimer values in pregnancy vary by trimester, for example: 1. First trimester. The amount increases one and a half times compared to the amount before conception (on average, should not exceed 750 ng/ml);
2. Second trimester. Indicators double (should not exceed 1000 ng/ml);
3. Third trimester. The amount triples (no more than 1500 ng/ml).
I am still in the first trimester and these values worry me, especially for the fetus. I emphasize that I have no problems with veins or anything else except for vomiting i.e., problems with nausea. What do you think about my analyses, are they concerning and how do they affect the fetus?!
Thank you in advance!

Sent by Arta, më 06 March 2022 në 06:11

Hello Arta, the value of D-dimer increases during pregnancy, as you have read. For pregnant women, the following D-Dimer reference value ranges are proposed: in the first trimester of pregnancy, 167-721 ng/mL; in the second trimester of pregnancy, 298-1653 ng/mL; and in the third trimester of pregnancy, 483-2256 ng/mL. Siennicka, Aldona, et al. "Reference values of D-Dimers and fibrinogen in the course of physiological pregnancy: the potential impact of selected risk factors—a pilot study." BioMed Research International 2020 (2020)

Replay from Dr. Shk. Sotiraq Lako, më 07 March 2022 në 10:02

Hello doctor, first of all, I congratulate you on your work and professionalism. I am pregnant in the first trimester, I did the d-dimer test, and the result was 1843ng/ml, I used aspirin for 10 days and it only dropped to 1730. The gynecologist told me that it is not problematic to continue with aspirin, but from the research I did, I saw that the values of d-dimer in pregnancy vary by trimester for example: 1. The first trimester. The amount increases one and a half times compared to the amount before conception (on average, it should not exceed 750 ng/ml);
2. The second trimester. The indicators double (do not exceed 1000 ng/ml);
3. The third trimester. The amount triples (no more than 1500 ng/ml).
I am still in the first trimester and these values concern me, especially for the fetus. I emphasize that I have no problems with veins or anything else except for vomiting i.e., problems with nausea. What do you think about my tests, are they concerning and how do they affect the fetus?!

Thank you in advance!

Sent by Arta, më 06 March 2022 në 06:30

Hello Arta, the value of D-dimer increases during pregnancy, as you have read. For pregnant women, the following D-Dimer reference value ranges are proposed: in the first trimester of pregnancy, 167-721 ng/mL; in the second trimester of pregnancy, 298-1653 ng/mL; and in the third trimester of pregnancy, 483-2256 ng/mL. Siennicka, Aldona, et al. "Reference values of D-Dimers and fibrinogen in the course of physiological pregnancy: the potential impact of selected risk factors—a pilot study." BioMed Research International 2020 (2020)

Replay from Dr. Shk. Sotiraq Lako, më 07 March 2022 në 10:02

Hello Dr. Sotiraq! I hope you are in good health. I would like your opinion on my 12-year-old son's blood test results. RBC 5.74, HgB 10.7, HCT 33.2, MCV 57.7, MCH 18.7, MCHC 32.4, RDW 16.9%, WBC 7.9, Neutrophils (Absolute) 3.9, Lymphocytes (Absolute) 2.5, Monocytes (Absolute) 0.5, Eosinophils (Absolute) 1.0, Basophils (Absolute) 0.0, Neutrophils 49.7%, Lymphocytes 31.0%, Monocytes 6.30%, Eosinophils 12.7%, Basophils 0.3%, PLTS 364 K/uL, PDW 12.2 fL, MPV 9.6 fL. I would like to know what these results indicate and what should be administered to my son if there is any problem? My son complains about stomach pain and this is accompanied by fainting spells

Sent by Lira , më 06 March 2022 në 08:34

Hello Lira, the boy probably has Thalassemia Minor. Ferritinemia and Hemoglobin Electrophoresis will be done. For the abdominal pain, you will discuss with the gastroenterologist

Replay from Dr. Shk. Sotiraq Lako, më 07 March 2022 në 10:04

Hello doctor, firstly I would like to congratulate you on your work and professionalism. I am pregnant in the first trimester, I have done the d-dimer analysis and the result was 1843ng/ml, I used aspirin for 10 days and it only decreased to 1730. The gynecologist told me that it's not problematic and to continue with aspirin, however, from the research I did, I saw that d-dimer values during pregnancy vary by trimester, for example: 1. First trimester. The amount increases one and a half times compared to the amount before conception (on average, it should not exceed 750 ng/ml); 2. Second trimester. The indicators double (should not exceed 1000 ng/ml); 3. Third trimester. The amount triples (no more than 1500 ng/ml). I am still within the first trimester and these values concern me especially for the fetus. I emphasize that I have no problems with veins or anything else except for vomiting i.e., problems with nausea. What do you think about my analyses, are they concerning and how do they affect the fetus?!

Thank you in advance!

Sent by Arta, më 06 March 2022 në 10:27

Hello Arta, the value of D-dimer increases during pregnancy, as you have read. For pregnant women, the following D-Dimer reference value ranges are proposed: in the first trimester of pregnancy, 167-721 ng/mL; in the second trimester of pregnancy, 298-1653 ng/mL; and in the third trimester of pregnancy, 483-2256 ng/mL. Siennicka, Aldona, et al. "Reference values of D-Dimers and fibrinogen in the course of physiological pregnancy: the potential impact of selected risk factors—a pilot study." BioMed Research International 2020 (2020)

Replay from Dr. Shk. Sotiraq Lako, më 07 March 2022 në 10:03

Hello doctor, first of all, I congratulate you on your work and professionalism. I am a pregnant woman in the first trimester, I have done the d-dimer analysis and the result was 1843ng/ml, I used aspirin for 10 days and it only dropped to 1730. The gynecologist told me that it is not problematic, continue with aspirin, but from my research, I saw that d-dimer values in pregnancy vary by trimester, for example: 1. First trimester. The amount increases one and a half times compared to the amount before conception (on average, it should not exceed 750 ng/ml); 2. Second trimester. The indicators double (should not exceed 1000 ng/ml); 3. Third trimester. The amount triples (no more than 1500 ng/ml). I am still in the first trimester and these values concern me, especially for the fetus. I emphasize that I have no problems with veins or anything else except for vomiting, i.e., problems with nausea. What do you think about my analyses, are they worrisome and how do they affect the fetus?!

Thank you in advance!

Sent by Arta, më 06 March 2022 në 12:08

Hello Arta, the value of D-dimer increases during pregnancy, as you have read. For pregnant women, the following D-Dimer reference value ranges are proposed: in the first trimester of pregnancy, 167-721 ng/mL; in the second trimester of pregnancy, 298-1653 ng/mL; and in the third trimester of pregnancy, 483-2256 ng/mL. Siennicka, Aldona, et al. "Reference values of D-Dimers and fibrinogen in the course of physiological pregnancy: the potential impact of selected risk factors—a pilot study." BioMed Research International 2020 (2020)

Replay from Dr. Shk. Sotiraq Lako, më 07 March 2022 në 10:03

Hello doctor, first I congratulate you on your work and professionalism. I am pregnant in the first trimester, I have done the D-dimer test and the result was 1843ng/ml, I used aspirin for 10 days and it only decreased to 1730. The gynecologist told me it is not problematic, continue with aspirin, but from the research I did, I saw that D-dimer levels in pregnancy vary by trimester, for example:
1. First trimester. The amount increases one and a half times compared to the amount before conception (on average, it should not exceed 750 ng/ml);
2. Second trimester. The indicators double (should not exceed 1000 ng/ml);
3. Third trimester. The amount triples (no more than 1500 ng/ml).
I am still in the first trimester and these values worry me, especially regarding the fetus. I emphasize that I do not have problems with veins or anything else except for vomiting, i.e., problems with nausea. What do you think about my tests, are they concerning and how do they affect the fetus?

Thank you in advance!

Sent by Arta, më 07 March 2022 në 02:43

Hello Arta, the value of D-dimer increases during pregnancy, as you have read. For pregnant women, the following D-Dimer reference value ranges are proposed: in the first trimester of pregnancy, 167-721 ng/mL; in the second trimester of pregnancy, 298-1653 ng/mL; and in the third trimester of pregnancy, 483-2256 ng/mL. Siennicka, Aldona, et al. "Reference values of D-Dimers and fibrinogen in the course of physiological pregnancy: the potential impact of selected risk factors—a pilot study." BioMed Research International 2020 (2020)

Replay from Dr. Shk. Sotiraq Lako, më 07 March 2022 në 10:03

Hello doctor, first I want to congratulate you on your work and professionalism. I am pregnant in the first trimester, I have done the d-dimer analysis and the result was 1843ng/ml, I used aspirin for 10 days and it only dropped to 1730. The gynecologist told me that it is not problematic, continue with aspirin but from the research I did, I saw that the d-dimer values in pregnancy vary by trimester for example: 1. First trimester. The amount increases one and a half times compared to the amount before conception (on average, it should not exceed 750 ng/ml);
2. Second trimester. Indicators increase twice (should not exceed 1000 ng/ml);
3. Third trimester. The amount increases three times (no more than 1500 ng/ml).
I am still in the first trimester and I am concerned about these values especially for the fetus. I emphasize that I have no problems with veins or anything else except for vomiting i.e., problems with nausea. What do you think about my analyses, are they concerning and how much do they affect the fetus?!

Thank you in advance!

Sent by Arta, më 07 March 2022 në 09:15

Hello Arta, the value of D-dimer increases during pregnancy, as you have read. For pregnant women, the following D-Dimer reference value ranges are proposed: in the first trimester of pregnancy, 167-721 ng/mL; in the second trimester of pregnancy, 298-1653 ng/mL; and in the third trimester of pregnancy, 483-2256 ng/mL. Siennicka, Aldona, et al. "Reference values of D-Dimers and fibrinogen in the course of physiological pregnancy: the potential impact of selected risk factors—a pilot study." BioMed Research International 2020 (2020)

Replay from Dr. Shk. Sotiraq Lako, më 07 March 2022 në 10:03

Hello doctor, first of all, I congratulate you on your work and professionalism. I am a pregnant woman in the first trimester, I have done the d-dimer analysis and the result was 1843ng/ml, I used aspirin for 10 days and it only dropped to 1730. The gynecologist told me that it is not problematic, continue with aspirin but from the research I did, I saw that d-dimer values during pregnancy vary by trimester, for example: 1. First trimester. The amount increases one and a half times compared to the amount before conception (on average, it should not exceed 750 ng / ml);
2. Second trimester. The indicators double (should not exceed 1000 ng / ml);
3. Third trimester. The amount triples (no more than 1500 ng / ml).
I am still within the first trimester and these values concern me especially for the fetus. I emphasize that I have no problems with veins or anything else except for vomiting, i.e., morning sickness. What do you think about my analyses, are they concerning and how do they affect the fetus?!

Thank you in advance!

Sent by Arta, më 07 March 2022 në 12:06

Hello Arta, the value of D-dimer increases during pregnancy, as you have read. For pregnant women, the following D-Dimer reference value ranges are proposed: in the first trimester of pregnancy, 167-721 ng/mL; in the second trimester of pregnancy, 298-1653 ng/mL; and in the third trimester of pregnancy, 483-2256 ng/mL. Siennicka, Aldona, et al. "Reference values of D-Dimers and fibrinogen in the course of physiological pregnancy: the potential impact of selected risk factors—a pilot study." BioMed Research International 2020 (2020)

Replay from Dr. Shk. Sotiraq Lako, më 08 March 2022 në 09:24

Hello doctor, first I want to congratulate you on your work and professionalism. I am pregnant in the first trimester, I have had a d-dimer test and the result was 1843ng/ml, I used aspirin for 10 days and it only dropped to 1730. The gynecologist told me that it is not problematic and to continue with aspirin but from the research I did, I saw that d-dimer levels during pregnancy vary by trimester for example: 1. First trimester. The amount increases one and a half times compared to the amount before conception (on average, it should not exceed 750 ng/ml);
2. Second trimester. The indicators double (should not exceed 1000 ng/ml);
3. Third trimester. The amount triples (no more than 1500 ng/ml).
I am still in the first trimester and I am worried about these values especially for the fetus. I emphasize that I have no problems with veins or anything else except for vomiting, i.e., problems with nausea. What do you think about my tests, are they concerning and how do they affect the fetus?!
Thank you in advance!

Sent by Arta, më 08 March 2022 në 07:28

Hello Arta, the value of D-dimer increases during pregnancy, as you have read. For pregnant women, the following D-Dimer reference value ranges are proposed: in the first trimester of pregnancy, 167-721 ng/mL; in the second trimester of pregnancy, 298-1653 ng/mL; and in the third trimester of pregnancy, 483-2256 ng/mL. Siennicka, Aldona, et al. "Reference values of D-Dimers and fibrinogen in the course of physiological pregnancy: the potential impact of selected risk factors—a pilot study." BioMed Research International 2020 (2020)

Replay from Dr. Shk. Sotiraq Lako, më 08 March 2022 në 09:24

Hello doctor. Please, can you help me with your opinion regarding these values that have come out above the norm from my blood analysis. MONO% 8.3, EOS% 3.2, RBC 5.24, HCT 35, HGB 11.4, MCV 66.8, MCH 21.8, RDW-SD 34.1. I have thalassemia minor. I have become worried since I have never had Monocytes and Eosinophils above the norm before. Thanking you, I remain in anticipation of your opinion

Sent by Olta, më 09 March 2022 në 11:49

Hello Olta, besides anemia, the others are normal

Replay from Dr. Shk. Sotiraq Lako, më 10 March 2022 në 04:01

Hello, doctor. Please, can you help me with your opinion regarding these values that came out above normal from my blood test. MONO% 8.3, EOS% 3.2, RBC 5.24, HCT 35, HGB 11.4, MCV 66.8, MCH 21.8, RDW-SD 34.1. I have thalassemia minor. I have become worried since I have never had Monocytes and Eosinophils above the norm before. Thanking you, I remain waiting for your opinion

Sent by Olta, më 09 March 2022 në 11:50

Hello Olta, besides anemia, the others are normal

Replay from Dr. Shk. Sotiraq Lako, më 10 March 2022 në 04:01

Hello, doctor. Please, could you help me with your opinion regarding these values that have come back above the norm from my blood test. MONO% 8.3, EOS% 3.2, RBC 5.24, HCT 35, HGB 11.4, MCV 66.8, MCH 21.8, RDW-SD 34.1. I have thalassemia minor. I have become worried because I have never had Monocytes and Eosinophils above the norm before. Thanking you in advance, I remain awaiting your opinion

Sent by Olta, më 09 March 2022 në 11:56

Hello Olta, except for anemia, the others are normal

Replay from Dr. Shk. Sotiraq Lako, më 10 March 2022 në 04:01

Hello doctor. Please, can you help me with your opinion regarding these values that have come out above normal from my blood test. MONO% 8.3, EOS% 3.2, RBC 5.24, HCT 35, HGB 11.4, MCV 66.8, MCH 21.8, RDW-SD 34.1. I have thalassemia minor. I have become worried because I have never had Monocytes and Eosinophils above normal. Thanking you, I remain waiting for your opinion

Sent by Olta, më 09 March 2022 në 11:57

Hello Olta, except for anemia, the others are normal

Replay from Dr. Shk. Sotiraq Lako, më 10 March 2022 në 04:01

Hello, doctor,

I thank you for your readiness and assistance that you provide to patients, among them myself. I am writing once again regarding my mother's problem, who has recently recovered from COVID. After her recovery, she did a blood test for thrombosis, and it showed 1.2 from <0.5, which is the norm. She took blood-thinning injections in the abdomen for 10 days, heparin I believe they are called, and her test result was 0.94. The doctor gave her another 7 days of blood-thinning injections in the abdomen, and after those, the tests showed 1.25. This time, the doctor told her to take a pill for blood thinning, Lixiana 60 mg, but for a few days now, her urine has been pink in color—not every day, but it continues for 1 or 2 days, then the color clears. She skipped the Lixiana 60 mg pill for one day, and her urine had a normal color. She has informed the doctor who recommended this medication, but he said it does not present any problem and to continue the medication. Today, mom did blood and urine tests, but today the urine color was not pink when she sent the sample for analysis. The blood test results are as follows: leukocytes 7100, erythrocytes 3,780,000, Hb 11, HCT 32, Mean Corpuscular Volume 89, MCH 33.9, PLT 288,000, Erythrocyte Sedimentation Rate 55, Blood Glucose 92, Blood Urea Nitrogen 40, Creatinine 1.1, Blood Uric Acid 3.8, Total Bilirubin 0.86, SGPT 23, SGOT 18, Fibrinogen 400, Cholesterol 173, Triglycerides 125. The urine test: yellow color, clear transparency, Albumin trace pronounced, acid reaction, leukocytes 7-10, erythrocytes 30-35, bilirubin negative. She did the tests in the morning, and the doctor gave her an antibiotic for 5 days for the urinary infection, while for the blood-thinning medication, Lixiana 60 mg, he said to continue since it was 1.25 in the test. She took the Lixiana 60 mg at noon, and in the afternoon, the urine was pink again. Please, doctor, can you explain what might cause this? Could this Lixiana 60 mg pill cause such

Sent by Leta, më 09 March 2022 në 22:36

Hello Leta, are you discussing the value of D-dimer? The value of D-dimer is calculated according to age. For the age of 70, it is 70 x 10 = 700 ng/ml. We use prophylaxis when the D-dimer value is 5-6 times above normal = 3,500 - 4,200 ng/ml. If there is no personal and family history of thrombosis, spontaneous abortions, and there is no current thrombosis, it is not necessary to use blood thinner

Replay from Dr. Shk. Sotiraq Lako, më 10 March 2022 në 04:04

Hello doctor, please can you give me your opinion regarding these test results, as some are above the norm:
WBC-12.74, NEU%-73.5, LYM-19.7
NEU#-9.35.
RBC-5.32, Hematocrit 44.8
HGB-15.7, MCV-84.2, MCH-29.5.
ESR-9 and Ferritin-91.23.
I am very worried because the white blood cells are above the norm, as I haven't had any flu-like conditions that could cause an increase.
Please, can you help me?
Thank you!

Sent by Arta, më 10 March 2022 në 10:47

Hello doctor, please could you give me your opinion on these test results, as some are above normal:
WBC-12.74, NEU%-73.5, LYM-19.7
NEU#-9.35.
RBC-5.32, Hematocrit 44.8
HGB-15.7, MCV-84.2, MCH-29.5.
ESR-9 and Ferritin-91.23.
I am very worried because the white blood cells are above normal, as I have not had any flu-like conditions that would increase them.
Please can you help me.
Thank you!

Sent by Arta, më 10 March 2022 në 10:47

Hello Arta, you have a slight increase in leukocytes. Repeat the analysis after 2-3 weeks

Replay from Dr. Shk. Sotiraq Lako, më 11 March 2022 në 05:49

Hello doctor, at the age of 14, I had a decrease in platelets directly after getting over chickenpox, that's when it appeared. I was followed up, treated with cortisone, according to the doctors it was concluded that this was all my body produced. However, today I am 33 years old, I enjoy good health physically, easily have a drop in tests, during two pregnancies, a slight drop at the beginning, while throughout the pregnancy and at the end they were always normal. My son is 6 years old, my daughter is 6 months old, with my son so far I have not seen any fluctuation in platelets, for my daughter I once did the tests and there was no problem. I am scared that it might be inherited by the children, I emphasize I was born through caesarean without any problem. I am very grateful if you answer me, doctor!

Sent by Rena, më 12 March 2022 në 03:05

Hello Rena, it is not inherited

Replay from Dr. Shk. Sotiraq Lako, më 13 March 2022 në 04:07

Hello doctor, at the age of 14, I had a drop in platelets right after getting over chickenpox, that was when it appeared, I had dark spots on my legs and arms, which disappeared after treatment.
I was monitored and treated with cortisone, according to the doctors it was concluded that was just how my body produced them, however, today I am 33 years old, I enjoy good physical health, I easily have a drop in tests, during both pregnancies, a slight drop at the beginning, while throughout the pregnancy and at the end they were always within the norm, my son is 6 years old, my daughter is 6 months old, with my son so far I have not seen any fluctuation in platelets, for my daughter I once did the tests and there was no problem,
I am scared that it might be inherited by the children, I emphasize I was born by cesarean without any problem. I am very grateful if you could answer me, doctor!

Sent by Rena, më 12 March 2022 në 04:21

Hello Rena, it is not inherited

Replay from Dr. Shk. Sotiraq Lako, më 13 March 2022 në 04:08

Hello esteemed doctor!
I have done a complete blood test and these values came out: Hgb-10.1, RBC-4.61, Hct-32, Mcv-68.5, Mch-21.6. I have been prescribed medication: Feramax-150mg 1 capsule at lunch after food and Neurokomplex-B (B1, B6, B12) in the morning and evening. Is this medication effective in correcting anemia?

Sent by Ana, më 12 March 2022 në 04:23

Hello Ana, you likely have mild Anemia probably from Iron Deficiency, it needs to be treated and the treatment you are taking is not the right one

Replay from Dr. Shk. Sotiraq Lako, më 13 March 2022 në 04:09

Hello doctor, at the age of 14, I had a drop in platelets right after getting over chickenpox; it was then that this appeared, I had dark spots on my legs and arms, which disappeared after treatment. I was monitored, treated with cortisone, and according to the doctors, it was concluded that this was all my body produced. However, today I am 33 years old, I enjoy good physical health, with slight drops in blood tests, during both pregnancies, a slight drop at the beginning, while throughout the pregnancy and at the end, they were always within the normal range. My son is 6 years old, my daughter is 6 months old, with my son so far I have not seen any fluctuations in platelets, for my daughter, I have done the tests once and there was no problem. I am scared that it might be inherited by the children, I emphasize I was born through cesarean without any problem. I would be very grateful if you could answer me, doctor!

Sent by Rena, më 12 March 2022 në 05:41

Hello Rena, it is not inherited

Replay from Dr. Shk. Sotiraq Lako, më 13 March 2022 në 04:08

Hello doctor, at the age of 14, I had a drop in platelets directly after getting chickenpox, at that time this appeared, I had dark spots on my legs and arms, which went away after treatment.
I was followed up, treated with cortisone, according to the doctors it was concluded that this was all my body produced, however today I am 33 years old, I appear to be in good health physically, easily a decrease in tests, during two pregnancies, a slight decrease at the beginning, while during the whole pregnancy and in the end, they were always normal, my son is 6 years old, my daughter is 6 months old, with my son so far I have not seen any fluctuation in platelets, for my daughter I have done the tests once and there was no problem,
I am scared that it might be inherited by the children, I emphasize I was born by cesarean without any problem. I am very grateful if you answer me, doctor!

Sent by Rena, më 12 March 2022 në 09:35

Hello Rena, it is not inherited

Replay from Dr. Shk. Sotiraq Lako, më 13 March 2022 në 04:08

Hello doctor, at the age of 14, I had a decrease in platelets right after getting over chickenpox, at that time this condition appeared. I had dark spots on my legs and arms, which disappeared after treatment. I was followed up and treated with cortisone, according to the doctors it was concluded that this was all my body produced. However, today I am 33 years old, I enjoy good physical health, with slight decreases in blood tests. During my two pregnancies, there was a slight decrease at the beginning, while throughout the pregnancy and at the end, they were always within normal ranges. My son is 6 years old, my daughter is 6 months old. With my son, so far I haven't noticed any fluctuations in platelets. For my daughter, I once did the tests and there was no problem. I am scared that it might be inherited by the children. I emphasize, I was born by Caesarean section without any problems. I would be very grateful if you could answer me, doctor!

Sent by Rena, më 12 March 2022 në 14:34

Hello Rena, it is not inherited

Replay from Dr. Shk. Sotiraq Lako, më 13 March 2022 në 04:07

The doctor, from another blood test done in a private laboratory, the result of PLT was 271 and the total platelets in the smear were 284,200, where they explained to me that it also depends on how the blood was taken because in the taking that was done, the blood was in dialysis, taken with effort and it has affected because it was done twice in the state laboratory where the blood was barely coming out and the syringe was filled with difficulty, which resulted in the blood in dialysis according to the lab technician who did the analysis, whereas in the 2nd private laboratory the blood was taken more easily and the results of the platelets were noticeably better. Do you advise me to repeat the tests again?

Sent by Iris, më 15 March 2022 në 13:22

Hello Iris, read what I have written to you before, you might have around 20 answers

Replay from Dr. Shk. Sotiraq Lako, më 16 March 2022 në 04:49

Greetings Dr. Lexova, I appreciate your answers given to patients very much. My Hemoglobin analysis HGB = 98 gr/L. WBC=7.4; RBC=4.88; HCT; MCV=58.6; MCH=20; MCHC=343; RDW-CV= 16.1; PLT=362; MPV=12.8; PDW=15.3; PCT=0.463%; urea=8.2; Creatinine S=142; AST= 25.2; ALT=14.6; Total Bilirubin=1.6 mg/dL; Direct Bilirubin= 1.0; Ferritin= 206.1 mg/mL. What should I use to boost my immunity, I am from Prishtina. Thank you for your potential help

Sent by Agim Feka, më 16 March 2022 në 15:34

Hello Agim, you do not have a problem with immunity. You will do Hemoglobin Electrophoresis and consult with the nephrologist

Replay from Dr. Shk. Sotiraq Lako, më 17 March 2022 në 04:58

Hello Doctor,

I have done a Ferritin test and it came out at a value of 9.14.

I have also had problems with iron before, and in 2018 I took medications since my level was at 5.4. After taking the iron supplements along with vitamin B12, my levels increased but now they are again below the normal values.

What kind of medication should I take in this case, so what do you suggest I do? Is there any reason to be worried that my iron goes below the norm?

Thank you very much for your time and your answer!

Sent by Silvana, më 24 March 2022 në 15:53

Hello Silvana, an increase is considered when ferritin levels exceed 20 ng/ml, and the normal value for a woman is 60-70 ng/ml. Vitamin B12 has no connection with the treatment for Iron Deficiency. The best preparation is Heferol, and the duration of the treatment also depends on the value of hemoglobin. If it is < 12 gr/dl, the treatment lasts at least 3 consecutive months; if it is above 12 gr/dl, at least 2 consecutive months

Replay from Dr. Shk. Sotiraq Lako, më 25 March 2022 në 04:37

Hello doctor, I have undergone an allogeneic transplant with a family donor in Italy, and I wanted to ask if you do patient follow-up after the first 6 months of the transplant?
Thank you

Sent by Amila, më 25 March 2022 në 11:44

Hello Amila, a structure for the realization and monitoring of transplants has still not been built in Albania

Replay from Dr. Shk. Sotiraq Lako, më 26 March 2022 në 06:29

Doctor, from another blood test done in a private laboratory, the PLT result came out as 271 and the total platelets in the smear were 284,200, where it was explained to me that it also depends on how the blood was taken because in the taken sample, the blood was in dialysis having been forcibly taken, and this affected the results because it was done twice in the state laboratory where the blood barely came out and filling the syringe was difficult, which also resulted in the blood being in dialysis according to the lab technician who did the analysis, whereas in the second private laboratory the blood was taken more easily and the platelet results were significantly better. Do you advise me to repeat the tests again?

Sent by Iris, më 15 April 2022 në 16:53

Hello Iris, I have replied to you many times

Replay from Dr. Shk. Sotiraq Lako, më 16 April 2022 në 02:32

Hello Doctor,
I did my latest tests in France and had to verify every vaccine we've had in our country. And
Hemoglobin is 12.9
Ferritin 27 from (30-250) norm I see some differences in measurement here
And I also discovered something I didn't know, because the Doctor asked me if I had other vaccines in my country and I said I had for Hepatitis

And the analysis shows old cured hepatitis B and at the end of the table it says AcHBs positive and then the presence of the vaccine (as I understand it means the virus is no longer present and there is no risk of spreading it) but is this from parental transmission? Because my mother has a cyst in her liver
Then I see for hepatitis C it says index 0.036 (lack of antibodies)
Syphilis < 0.5 index (lack of antibodies)
Conclusion: serology negative
For HIV: screening negative
The rest I see within the norm.
What do you advise?
Thank you sincerely for your humanity in helping us from a distance

Sent by ediola , më 22 April 2022 në 03:35

Hello Ediola, regarding the hemoglobin, it is normal, but the ferritin is above the lower limit of the norm (20 ng/ml), so there is room to use medication for 1-1.5 months (note, in France Tardyferon 80 mg x 3 tablets/day). For the vaccines, I am not the specialist

Replay from Dr. Shk. Sotiraq Lako, më 22 April 2022 në 04:42

Hello doctor. A year ago I caught a mild case of COVID, and from the tests I did it turned out that I had anemia and iron at 4.8 ng/ml. I underwent treatment for a month, taking iron pills, folic acid, and vitamin C. In the second month, I added 5 iron-containing injections to the medication I was already taking. After finishing them, I measured my iron level and it was 45 ng/ml, and I didn't continue any treatment. The last tests I did were in July 2021 and now I have done the tests again, only for ferritin, and it was 15.8 ng/ml. What should I do, should I continue with the treatment I had? Thank you

Sent by Nevila Xhaxho, më 02 May 2022 në 15:17

Hello Nevila, your treatment has been without logic. Not every iron supplement ensures the achievement of the result. Low ferritin levels are not related to Covid. Currently, you still have an Iron Deficiency and you need to take medication for 2 months, for example, Heferol 350 mg 2 x 1 capsule/day + Vitamin C 100 mg 2 x 1 tablet/day. Recheck after treatment with ferritin levels. The goal is close to 60 ng/ml. The cause in women is repeated blood loss with menstruation and needs to be assessed

Replay from Dr. Shk. Sotiraq Lako, më 04 May 2022 në 02:49

Hello Doctor, I hope you are in good health. Please, I have received the results of the tests (Age: 34 years, Gender: Female):
WBC 5.24 x10^9/L
LYM# 1.74 x 10^9/L
MID# 0.54 x 10^9/L
GRA# 2.96 x 10^9/L
LYM% 33.08%
MID% 10.15%
GRA% 56.77%
RBC 443 x10^12/L
HGB 7.5 g/dL
MCHC 27.55 g/dL
MCH 16.93 pg
MCV 61.46 fL
ROW-CV 23.57%
ROW SD 53.28 fL
HCT 27.23%
PLT 810 x 10^9/L
MPV 11.57 fL
PDW 9.41%
PCT 0.94%
P-LCR 74.86%
Ferritin 2.674

Can you help me with the treatment and what I should do next?
Thank you for your support!

Sent by Viola, më 04 May 2022 në 07:33

Hello Viola, you most likely have Iron Deficiency Anemia. 1-Ironorm 3 x 1 capsules/day – 90 capsules/month. In the middle or after food, for at least 3 consecutive months. The patient will be rechecked with a complete blood count after 1 month of treatment

Replay from Dr. Shk. Sotiraq Lako, më 05 May 2022 në 06:51

Hello Doctor, I hope you are in good health. Please, I have received the results of my tests (Age: 34 years, Gender: Female):
WBC 5.24 x10^9/L
LYM# 1.74 x 10^9/L
MID# 0.54 x 10^9/L
GRA# 2.96 x 10^9/L
LYM% 33.08%
MID% 10.15%
GRA% 56.77%
RBC 443 x10^12/L
HGB 7.5 g/dL
MCHC 27.55 g/dL
MCH 16.93 pg
MCV 61.46 fL
ROW-CV 23.57%
ROW SD 53.28 fL
HCT 27.23%
PLT 810 x 10^9/L
MPV 11.57 fL
PDW 9.41%
PCT 0.94%
P-LCR 74.86%
Ferritin 2.674

Can you help me with the treatment and what should I do next?
Thank you for your support!

Sent by Viola, më 09 May 2022 në 01:55

Hello Viola, you have anemia from iron deficiency, moderate grade. The increase in platelets can be linked to iron deficiency. You need to be properly treated by a hematologist

Replay from Dr. Shk. Sotiraq Lako, më 09 May 2022 në 05:57

Hello Doctor, I hope you are well. Please, I have received the results of my tests (Age: 34 years, Gender: Female):
WBC 5.24 x10^9/L
LYM# 1.74 x 10^9/L
MID# 0.54 x 10^9/L
GRA# 2.96 x 10^9/L
LYM% 33.08%
MID% 10.15%
GRA% 56.77%
RBC 443 x10^12/L
HGB 7.5 g/dL
MCHC 27.55 g/dL
MCH 16.93 pg
MCV 61.46 fL
ROW-CV 23.57%
ROW SD 53.28 fL
HCT 27.23%
PLT 810 x 10^9/L
MPV 11.57 fL
PDW 9.41%
PCT 0.94%
P-LCR 74.86%
Ferritin 2.674

Can you help me with the treatment and what should I do next?
Thank you for your support!

Sent by Viola, më 09 May 2022 në 02:21

Hello Viola, you have anemia due to iron deficiency, moderate grade. The increase in platelets can be associated with iron deficiency. You need to be properly treated by a hematologist

Replay from Dr. Shk. Sotiraq Lako, më 09 May 2022 në 05:57

Hello doctor, I have done the ferritin tests and it came out 36 (13-350 normal range) and my hemoglobin came out 13 (12-15). Do I need to take any iron supplements? Thank you

Sent by Ela, më 14 May 2022 në 07:26

Hello Ela, currently you have normal values. There is no need for medication. Follow up in 6 months with ferritinemia

Replay from Dr. Shk. Sotiraq Lako, më 16 May 2022 në 03:35

Hello doctor, I have done the ferritin tests and it came out 36 (13-350 normal range) and my hemoglobin came out 13 (12-15), do I need to take any iron supplement??thank you

Sent by Ela, më 14 May 2022 në 07:49

Hello Ela, currently you have normal values. There is no need for medication. Recheck after 6 months with ferritinemia

Replay from Dr. Shk. Sotiraq Lako, më 16 May 2022 në 03:36

Hello doctor, I have done the ferritin tests and it came out 36 (13-350 normal range) and my hemoglobin came out 13 (12-15). Do I need to take any iron supplements?? Thank you

Sent by Ela, më 14 May 2022 në 07:50

Hello Ela, currently you have normal values. There is no need for medication. After 6 months, recheck with ferritinemia

Replay from Dr. Shk. Sotiraq Lako, më 16 May 2022 në 03:36

Hello doctor!
If you could please tell me how these tests have turned out.

And what my mother can use.
Age 67 years.
Complete blood count
WBC 6.35, RBC 3.82, HGB 12.6, HCT 38, MCV 99.5, MCH 33, MCHC 33.2,

Biochemical analysis
Triglycerides 241, Total cholesterol 209, HDL cholesterol 31, LDL cholesterol 129, VLDL cholesterol 48, Phospholipids 224

Hormonal analysis
Ferritin 20.92

25 OH Vitamin D 10.73
The problem is that she has high blood pressure.
After visiting the cardiologist and changing the medication, she now has weakness and has developed low blood pressure.
The doctor, in addition to the blood pressure medications, has also given her a pill for D3 (calcium)
Please, can you tell me what she can use or what can be done?
Thank you!

Sent by Anila, më 16 May 2022 në 16:58

Hello Anila, the slight changes in blood are not related to blood pressure. Folic Acid and Vitamin B12 should be done. Likewise, erythrocyte sedimentation rate, total protein

Replay from Dr. Shk. Sotiraq Lako, më 17 May 2022 në 06:21

Hello doctor!
I have a concern.
I have children who are relatively 19 years old and 8 years old.
They sweat a lot. Not just in activities. Both of them have congenital minor anemia.
Their ferritin and overall blood tests are good.
Can you tell me what I can do? Where do these sweats come from?
Where can I take them for a visit?
Is there any medicine I can give them?
Thank you very much!

Sent by Kristo, më 19 May 2022 në 23:37

Hello Kristo, Thalassemia Minor is characterized by increased sweating. The specialist for sweating is a dermatologist

Replay from Dr. Shk. Sotiraq Lako, më 20 May 2022 në 06:29

Hello!
I have a 5-year-old daughter. She had a fever 3 weeks ago. She feels tired and is not as active as she used to be. I have done blood tests and these are the parameters: Sideremia 35 ug/dl, Ferritin 23.35 ng/ml, Erythrocyte sedimentation rate 10 mm/hr, WBC 9.59, RBC 6.31, HGB 11.7, HCT 41, MCV 65, MCH 18.5, MCHC 28.5, Platelets (PLT) 210, LYM% 46.30, MXD% 6.20, Neut% 47.5, Lym 4.44, MXD 0.59, Neut 4.56, RDW-CV 12, RDW-SD 41.30, PDW 17.50, MPV 10.60, P-LCR 40.90. Please, how should I proceed with these results? Does she need treatment? Thank you

Sent by mira, më 23 May 2022 në 03:53

Hello Mira, your daughter has Thalassemia Minor, it is not related to the past infectious disease

Replay from Dr. Shk. Sotiraq Lako, më 23 May 2022 në 05:54

Hello! My son, 14 years old, was complaining about fatigue and lack of strength. I had his blood tests and liver tests done. The liver tests came back within normal limits, while in the blood tests, the lymphocytes in percentage were 52.3, neutrophils in percentage were 31, eosinophils in percentage were 7, neutrophils (in 10^9/L) 1.61, PDWs (fl) 21. All other parameters were within the normal range. Please, doctor, I seek your opinion

Sent by juli, më 25 May 2022 në 03:40

Hello Juli, there are some mild changes. It could be the influence of viruses. Recheck in 2-3 weeks

Replay from Dr. Shk. Sotiraq Lako, më 26 May 2022 në 03:06

Hello! My son, 14 years old, was complaining about fatigue and lack of strength. I did blood tests and urine tests for him. The urine tests came back within normal limits, while in the blood tests, the lymphocytes in percentage were 52.3, neutrophils in percentage 31, eosinophils in percentage 7, neutrophils (in 10^9/L) 1.61, PDWs (fl) 21. All other parameters were within normal limits. Please doctor, I seek your opinion

Sent by juli, më 25 May 2022 në 03:40

Hello Juli, there are some slight changes. It could be the influence of viruses. Repeat and recheck after 2-3 weeks

Replay from Dr. Shk. Sotiraq Lako, më 26 May 2022 në 03:06

Hello Doctor, I hope you are well and I congratulate you for the tireless work you do. When and at what time can I make a visit?

Sent by Zenel, më 27 May 2022 në 13:57

Hello, American Hospital, Monday-Friday 9 AM-4 PM

Replay from Dr. Shk. Sotiraq Lako, më 30 May 2022 në 05:22

Hello Doctor, I wish you well and congratulate you for the tireless work you do. When and at what time can I make a visit?

Sent by Zenel, më 27 May 2022 në 16:25

Hello, American Hospital, Monday-Friday 9 AM-4 PM

Replay from Dr. Shk. Sotiraq Lako, më 30 May 2022 në 05:22

Hello, how are you
My sister has been diagnosed with Hodgkin lymphoma
Is chemotherapy or surgery recommended? Please give me an answer because she is only 23 years old

Sent by Greta, më 28 May 2022 në 07:27

Hello Greta, depending on the localization of the disease, chemotherapy, radiotherapy, or a combination of both are performed. Surgery is not usually performed. Before starting treatment, it is good to have a PET-CT to see the localization of the disease

Replay from Dr. Shk. Sotiraq Lako, më 30 May 2022 në 05:24

Please, I have a pregnant daughter, she is 21 years old, in the fifth month of pregnancy. Here are her test results: Wbc 14.47, Rbc 3.82, Hgb 11.2, Hct 33.5, Plt 425, Neut 9.63. C Reactive Protein 3, Ferritin 11.6. I emphasize that even when she wasn't pregnant, her Wbc was 12.2 and sometimes even 11 thousand. Thank you

Sent by Olta, më 31 May 2022 në 03:54

Hello Olta, a slight increase in leukocytes and neutrophils during pregnancy is normal. The girl has mild anemia, probably from iron deficiency

Replay from Dr. Shk. Sotiraq Lako, më 31 May 2022 në 04:37

Please, I have a pregnant daughter who is 21 years old in the fifth month of pregnancy. Here are her lab results: WBC 14.47, RBC 3.82, Hgb 11.2, Hct. 33.5, Plt 425, Neut 9.63. C-Reactive Protein 3. Ferritin 11.6. I emphasize that even when she was not pregnant, her WBC was 12.2 and sometimes even 11 thousand. Thank you

Sent by Olta, më 31 May 2022 në 05:19

Hello Olta, a slight increase in leukocytes and neutrophils during pregnancy is normal. The girl has mild anemia, probably due to iron deficiency

Replay from Dr. Shk. Sotiraq Lako, më 01 June 2022 në 05:04

Please, my daughter is pregnant, she is 21 years old in the fifth month of pregnancy. Here are these tests: Wbc14.47, Rbc 3.82, Hgb 11.2, Hct.33.5, Plt 425, Neut 9.63. C-Reactive Protein 3. Ferritin 11.6. I note that even when she was not pregnant, her Wbc was 12.2 and sometimes even 11 thousand. Thank you

Sent by Olta, më 31 May 2022 në 12:40

Hello Olta, a slight increase in leukocytes and neutrophils during pregnancy is normal. The girl has mild anemia, probably from iron deficiency

Replay from Dr. Shk. Sotiraq Lako, më 01 June 2022 në 05:03

Hello doctor, I have done a complete blood test and these values came out: WBC 17.58, neutrophils 80.2, lymphocytes 12.0, monocytes 7.4, Neutrophils NEU# 14.10
A week ago, I was sick with a strong cough, but every time I do the leukocytes, they come out above normal, 2 months ago even though I had nothing, they were 13.57, Please can you give me an opinion on what to do
Thank you

Sent by Arta, më 03 June 2022 në 01:23

Hello Arta, you have a slight increase in leukocytes. Can't explain it through email

Replay from Dr. Shk. Sotiraq Lako, më 03 June 2022 në 08:14

Hello doctor, I did a urine analysis and these were the results: leukocytes 86_87, pH value 2.3 normal value 5.7, result 8, density result 1015 normal 1.015 _1.025

Sent by Arsen, më 03 June 2022 në 08:45

Hello Arseni, you will discuss with the nephrologist

Replay from Dr. Shk. Sotiraq Lako, më 03 June 2022 në 09:42

Hello doctor,
my father, 70 years old, suffers from cirrhosis of the liver >12KPA. He has done these tests: WBC 3.82, RBC 3.59, HGB 9.1, HCT 27.7, MCV 77.2, MCH 25.3, MCHC 32.9, PLT 82, RDW-SD 39.8, RDW-CV 14.7, PDW 15.8, MPV 12.7, P-LCR 45.6, PCT 0.1, Neut 2.36 or 61.7%, Lymph 0.85 or 22.3%, mono 0.34 or 8.9%, eo 0.26 or 6.8%, baso 0.01 or 0.3%, sediment 54, SGPT 30, SGOT 23, total Bilirubin 0.3, alkaline phosphatase 138, GGT 69, azotemia 18, creatinine 0.96, fasting glucose 109, prothrombin level 98.4, INR 1.01, total protein 7.6, albumin 4.2. Does this situation of the tests have to do with the disease and the diet without red meat or does it relate to something else? thank you

Sent by Marjeta, më 06 June 2022 në 07:28

Hello Marjeta, your father has mild hematological changes. They could be directly related to cirrhosis, the cause of cirrhosis (virus, alcohol), or it could be due to other reasons

Replay from Dr. Shk. Sotiraq Lako, më 09 June 2022 në 06:27

Please, I have a pregnant daughter who is 21 years old in the fifth month of pregnancy. Here are her test results. Wbc 14.47, Rbc 3.82, Hgb 11.2, Hct 33.5, Plt 425, Neut 9.63. C-reactive Protein 3. Ferritin 11.6. I emphasize that even when she was not pregnant, her Wbc was 12.2 and sometimes even 11 thousand. Thank you

Sent by Olta, më 06 June 2022 në 18:19

Hello Olta, your daughter has mild anemia probably due to iron deficiency. The slight increase in leukocytes is common for pregnancies

Replay from Dr. Shk. Sotiraq Lako, më 09 June 2022 në 06:27

Please, I have a pregnant daughter, she is 21 years old in the fifth month of pregnancy. She has these lab results. WBC 14.47, RBC 3.82, Hgb 11.2, Hct 33.5, Plt 425, Neut 9.63, C-Reactive Protein 3, Ferritin 11.6. I emphasize that even when she was not pregnant, her WBC was 12.2 and sometimes even 11 thousand. Thank you

Sent by Olta, më 08 June 2022 në 03:13

Hello Olta, your daughter has mild anemia probably from iron deficiency. The slight increase in leukocytes is common for pregnancies

Replay from Dr. Shk. Sotiraq Lako, më 09 June 2022 në 06:28

Hello Doctor, I congratulate you on your work! I have a problem with D-dimer! My father had surgery in February, he had a bypass! At the end of April, we measured the D-dimer, which came out to 8500, we use blood thinners twice a day for about 1 month and 10 days the last measurement showed 1200! We continue again with the injections until one day we see blood in the catheter! We stop it but also get a urinary infection! During this time, he uses antibiotics! After a week, I measure the D-dimer, it comes out to 3200! Does the infection affect these values, or is there some other problem that we are not understanding? Please, I await your response! Thank you

Sent by Ilda, më 19 June 2022 në 06:33

Hello Ilda, it affects. D-dimer is primarily an indicator of inflammation

Replay from Dr. Shk. Sotiraq Lako, më 19 June 2022 në 14:00

Hello, Dr. Sotiraqi. I had my 5-year-old son, who weighs 20 kg, undergo blood tests including ferritin and vitamin D levels due to concerns about knee pain, leg pain, and fatigue when walking. The results of the analysis are as follows; WBC 7.06; Neu 3.98; Lym 2.44; Mon 0.26; Eo 0.33; Bas 0.05; Neu % 56.4; Mon % 3.7; Lym % 34.5; EO % 4.7; Bas % 0.7; RBC 5.18; HGB 12.1; HCT 37.4; MCV 72.2; MCH 23.3; MCHC 32.3; RDWsd 27.6; RDWcv 15.5; PLT 379; PCT 0.31; MPV 8.3 PDWsd 21.1; PDWcv 36.4; PLCR 30.9; PLCC 117; Erythrocyte sedimentation rate 44; Ferritin 10.58 and Vit D3 24. The child is very picky with food, and it's difficult for him to eat those rich in iron. What do you recommend, doctor, and please the dosage. Thank you

Sent by Lorenca, më 20 June 2022 në 08:00

Hello, Dr. Sotiraq. I have conducted blood tests including ferritin and vitamin D levels for my 5-year-old son who weighs 20 kg, due to concerns about knee pain, leg pain, and fatigue when walking. The results of the tests are as follows; WBC 7.06; Neu 3.98; Lym 2.44; Mon 0.26; Eo 0.33; Bas 0.05; Neu % 56.4; Mon % 3.7; Lym % 34.5; EO % 4.7; Bas % 0.7; RBC 5.18; HGB 12.1; HCT 37.4; MCV 72.2; MCH 23.3; MCHC 32.3; RDWsd 27.6; RDWcv 15.5; PLT 379; PCT 0.31; MPV 8.3 PDWsd 21.1; PDWcv 36.4; PLCR 30.9; PLCC 117; Erythrocyte sedimentation rate 44; Ferritin 10.58 and Vit D3 24. The child is very picky with food, and it's difficult for him to eat those rich in iron. What do you recommend, doctor, and please suggest a dosage. Thank you

Sent by Lorenca, më 20 June 2022 në 08:06

Hello Lorenca, THE BOY HAS IRON DEFICIENCY. He needs to take iron, usually for this age it's in liquid form. The dosage will be discussed with the pediatrician, I treat adults

Replay from Dr. Shk. Sotiraq Lako, më 21 June 2022 në 02:40

Hello, my son is 1 year old and these are the values of my son's tests:
Erythrocytes 4.47
Hemoglobin 10.7
Hematocrit 32.9
MCV 73.6
MCH 23.8 Iron 116.29
Ferritin 29.35 Thank you!

Sent by Dorela, më 23 June 2022 në 01:45

Hello Sidorela. according to the WHO, up to the age of 5 years, the normal hemoglobin is 11 gr/dl. Ferritinemia is normal. Currently, I do not see any significant change. Repeat the peripheral blood analysis

Replay from Dr. Shk. Sotiraq Lako, më 23 June 2022 në 04:09

Hello doctor!
I wanted to ask what tests I should do, I am 42 years old and for almost 3 years now I have been almost always feeling powerless and very sleepy, the check-up tests I had done a year ago came out very well, and my iron, ferritin are very good. I am a carrier of hepatitis but I do not know why I am in this condition. I have noticed that my legs from the knee down swell almost every night. I would appreciate it very much if you tell me what tests I should do

Sent by Elona, më 24 June 2022 në 16:43

Hello Elona, repeat the complete blood count, ferritin, total protein, urea, creatinine, albumin, TSH, Vitamin D, ALT, AST, total Bilirubin. For the swollen glands, you will discuss with the nephrologist, cardiologist

Replay from Dr. Shk. Sotiraq Lako, më 25 June 2022 në 04:21

Doctor Sotiraq is very humane and very skilled in his profession, so I have been told. I want to have a check-up with Dr. Sotiraq for my husband

Sent by Silvana Demiri, më 27 June 2022 në 00:28

Hello Silvana, thank you, you can come to the American Hospital

Replay from Dr. Shk. Sotiraq Lako, më 27 June 2022 në 06:42

Hello,
I have done a blood test and these are the results I got:
HGB=12.9
RBC=4.36
HCT=35
MCV=80.3
MCH=29.6
MCHC=36.9

Is there any problem with MCHC=36.9?

All the others were within the normal range

Sent by Arsila, më 29 June 2022 në 03:12

Hello Arsila, everything is normal with you

Replay from Dr. Shk. Sotiraq Lako, më 29 June 2022 në 06:58

Hello Doctor, is there something that can reduce the increase of eosinophils because my 5-year-old daughter has an elevated level (7%)? My daughter does not have a problem with parasites but has allergies to dust, however, I am very concerned about this increase in eosinophils. You have said, Doctor, that it is not related to blood diseases because I was very afraid of that reason, is it dangerous if the number of eosinophils does not decrease or is there something that can reduce it because I can't stop worrying about it, I am very worried. Thank you very much, you are a skilled doctor, I wish all the best to you and your family

Sent by Fitore, më 01 July 2022 në 11:55

Please Fitore, I have given you the same answer many times

Replay from Dr. Shk. Sotiraq Lako, më 06 July 2022 në 05:24

Dear Dr. Lako,
My 61-year-old mother was just diagnosed with Covid. She has had 3 doses of the vaccine.
Her D-dimer was 780 (reference value below 500) on the third day of symptoms. She is currently taking Flebodia to prevent thrombosis in the legs.
What would you advise regarding this D-dimer value? Should we start Clexane 0.6 injections? Should she continue or stop taking Flebodia?
We want to take every precaution to avoid any risk.
Thank you endlessly for your time and response.
Respectfully, Mirela

Sent by Mirela, më 11 July 2022 në 12:17

Hello Mirela, to decide on whether to use an anticoagulant or not, many factors are assessed: age, other diseases, weight, smoking, personal history of thrombosis, miscarriages, family history, etc. Whether there is current thrombosis, especially in the lower limbs (an Echo Doppler is done). A value of 780 in itself, does not require prophylaxis. We use it when it is 5-6 times above the normal value

Replay from Dr. Shk. Sotiraq Lako, më 11 July 2022 në 12:47

Please, I have a pregnant daughter who is 21 years old in the fifth month of pregnancy. Here are her test results: Wbc 14.47, Rbc 3.82, Hgb 11.2, Hct 33.5, Plt 425, Neut 9.63. C Reactive Protein 3. Ferritin 11.6. I note that even when she was not pregnant, her Wbc was 12.2 and sometimes even 11 thousand. Thank you

Sent by Olta, më 12 July 2022 në 08:00

Hello Olta, the increase in white blood cells is a characteristic of pregnancy. The girl has mild Anemia from Iron Deficiency, which needs to be treated

Replay from Dr. Shk. Sotiraq Lako, më 13 July 2022 në 03:08

Hello, 48 years old diagnosed with echo angiomyolipoma in the kidney 0.4cm asymptomatic. How are angiomyolipomas treated and should it be surgically removed or not?

Sent by Nisa, më 12 July 2022 në 13:30

Hello Nisa, you will discuss with the urologist doctor

Replay from Dr. Shk. Sotiraq Lako, më 13 July 2022 në 03:09

Hello, doctor! I congratulate you on your work. I would kindly ask for your advice regarding my husband's blood test results. He is 29 years old. Below, I am writing his results from the blood analysis and in brackets are the reference values provided by the laboratory.

HGB 17.4 (laboratory value 14.00-17.8)
RBC 6.30 (laboratory value 4.40-5.90)
HCT 53.0 (laboratory value 42.00-52.00)
MCV 84.1 (laboratory value 80-100)
MCH 27.6 (laboratory value 27-34)
MCHC 32.8 (laboratory value 32-36)
RDW 11.3 (laboratory value 11.5-14)

WBC 6; NEUT 54; LYM 35; MONO 7.95; EOS 1.436; BASO 1.606

PLT 201 (laboratory value 150-450)
MPV 6.9 (6-9.5)

Erythrocyte sedimentation rate 2 (laboratory value 0-15)

As for the blood values under the microscope, they are as follows:

Leukocyte formula
Stabs 4%
Segments 54%
Eosinophils 0%
Basophils 1%
Lymphocytes 33%
Monocytes 8%

He also underwent an LDH lactate dehydrogenase analysis and the result was 114 (laboratory value 125-220).
Urea 19.3; Creatinine 0.78; Uric Acid 5.3.
LDL cholesterol 138; NON HDL cholesterol 137; R1 = CHOL/HDL 4.3
Meanwhile, he has a Ferritin level of 19.5 (laboratory value 22-275)

What would you advise in this case for further examinations, or do you not see it as necessary? My husband has not consumed red meat for a year and a half. He also does not consume tobacco or alcohol. Thank you for your time

Sent by Sofi, më 13 July 2022 në 10:30

Hello Sofi, the husband has an increase in red blood cells that needs to be discussed and a decrease in iron reserves. A consultation with a hematologist is needed

Replay from Dr. Shk. Sotiraq Lako, më 14 July 2022 në 04:57

Please, I have a pregnant daughter, she is 21 years old in the fifth month of pregnancy. Here are her analyses. Wbc 14.47, Rbc 3.82, Hgb 11.2, Hct 33.5, Plt 425, Neut 9.63. C Reactive Protein 3. Ferritin 11.6. I emphasize that even when she was not pregnant, her Wbc was 12.2 and sometimes even 11 thousand. Thank you

Sent by Olta, më 16 July 2022 në 08:08

Hello Olta, your daughter has mild anemia probably from iron deficiency. The slight increase in leukocytes is common for pregnancies

Replay from Dr. Shk. Sotiraq Lako, më 18 July 2022 në 02:26

Please, I have a pregnant daughter, she is 21 years old and in the fifth month of pregnancy. Here are her test results: WBC 14.47, RBC 3.82, Hgb 11.2, Hct 33.5, Plt 425, Neut 9.63, C-Reactive Protein 3, Ferritin 11.6. I emphasize that even when she was not pregnant, her WBC was 12.2 and sometimes even 11 thousand. Thank you

Sent by Olta, më 16 July 2022 në 14:21

Hello Olta, your daughter has mild anemia probably due to iron deficiency. The slight increase in white blood cells is common for pregnancies

Replay from Dr. Shk. Sotiraq Lako, më 18 July 2022 në 02:26

Please, I have a pregnant daughter who is 21 years old in her fifth month of pregnancy. Here are her blood test results: Wbc 14.47, Rbc 3.82, Hgb 11.2, Hct 33.5, Plt 425, Neut 9.63, C-reactive Protein 3, Ferritin 11.6. I emphasize that even when she was not pregnant, her Wbc was 12.2 and sometimes even 11 thousand. Thank you

Sent by Olta, më 16 July 2022 në 16:27

Hello Olta, your daughter has mild anemia probably due to iron deficiency. The slight increase in leukocytes is common for pregnancies

Replay from Dr. Shk. Sotiraq Lako, më 18 July 2022 në 02:26

Hello doctor!
Please, what can you tell me about these tests. I am only sending you the ones that are out of range.
HGB 11, MCH 26.5, MCHC 31.5, MCV 82, RDWc 16.5, PDWs 15. While RBC is 5.63.
All other values are within normal ranges.
It is a male, 58 years old. He has had arrhythmia and recently feels like he is suffocating, especially when sleeping, so he hardly breathes.
He uses propafenone in the evening.
Please, what can we do?
Thank you!

Sent by Anila, më 25 July 2022 në 08:03

Hello Anila, ferritinemia and hemoglobin electrophoresis will be done. They are not related to the current complaints

Replay from Dr. Shk. Sotiraq Lako, më 26 July 2022 në 02:53

Hello doctor!
Please, what can you tell me about these tests. I am only sending the ones that are out of range.
HGB 11, MCH 26.5, MCHC 31.5, MCV 82, RDWc 16.5, PDWs 15. While RBC is 5.63.
All other values are within the parameters.
It is a male, aged 58. He has had arrhythmia and recently feels like he is suffocating, especially when he is sleeping, so he hardly breathes.
He uses propafen at night.
Please, what can we do?
Thank you!

Sent by Anila, më 25 July 2022 në 09:26

Hello Anila, ferritinemia and hemoglobin electrophoresis will be done. They are not related to the current complaints

Replay from Dr. Shk. Sotiraq Lako, më 26 July 2022 në 02:53

Hello doctor!
Please, what can you tell me about these tests. I am only sending you the ones that are outside the parameters.
HGB 11, MCH 26.5, MCHC 31.5, MCV 82, RDWc 16.5, PDWs 15. While RBC is 5.63.
All other values are within parameters.
It is a male, age 58. He has had arrhythmias and recently feels like he is suffocating especially when he is asleep, so he can hardly breathe.
Uses propafen in the evening.
Please, what can we do.
Thank you!

Sent by Anila, më 25 July 2022 në 09:26

Hello Anila, ferritinemia and hemoglobin electrophoresis will be done. They are not related to the current complaints

Replay from Dr. Shk. Sotiraq Lako, më 26 July 2022 në 02:53

Hello doctor!
Thank you for the answers you provide without hesitation.
I have my mother. Age 67 years. We have done these analyses. If it would be possible for you to read and comment on them.
I'm only sending you the values that are out of the normal range.
HGB 10.2, MCHC 31.2 / RBC 2.84 /HCT 32.68 /MCH 36.9 / MCV 115/ RDWs 81.2.
Sideremia 90
Glycated Hemoglobin 6.0
Ferritin 116
TSH 1.17
FT4 13.61
Sedimentation rate 95
Physical weakness and fluctuating blood pressure.
She is weak. Currently, she is being treated for a cold with amikacin twice a day and blood pressure medications corvitin, kalistra,
Please, what can we do?
Thank you!

Sent by Anila, më 07 Agust 2022 në 02:46

Hello Anila, your mother likely has anemia due to a lack of vitamin B12 and Folic Acid. You should consult a hematologist for confirmation and the necessary treatment

Replay from Dr. Shk. Sotiraq Lako, më 09 Agust 2022 në 08:35

Hello doctor, I thank you for your tireless work. My problem is this, my mother has been diagnosed with multiple myeloma and is currently finishing the eighth and last cycle of chemo with VCD. I wanted to ask what the subsequent treatment procedure is and what are the analyses that we need to do, besides the bone marrow biopsy which we also did at the beginning of the diagnosis. Are all these analyses done here in Albania, and the evaluation of the patient for bone marrow transplant or not? Thanking you, I wish you good work

Sent by Olsi, më 10 Agust 2022 në 06:49

Hello Olsi, currently in Albania, VCD is the most common scheme. The number of treatment cycles depends on whether an autologous transplant is realized or not. This depends on the patient's age (< 65-70 years). If a transplant is to be carried out, 4-6 treatment cycles are done and then the procedures for the transplant. Tests and examinations are done before the disease, during the treatment (after 2-3 cycles), and at the end of the treatment to determine the level of disease control. To perform the transplant, from the attack therapy, at least VGPR must be achieved. https://www.myeloma.org/resource-library/international-myeloma-working-group-imwg-uniform-response-criteria-multiple

Replay from Dr. Shk. Sotiraq Lako, më 10 Agust 2022 në 10:05

VGPR - Serum and urine M-protein detectable by immunofixation, but not on electrophoresis or > 90% reduction in serum M-protein plus urine M-protein level < 100 mg/24 h

Replay from Dr. Shk. Sotiraq Lako, më 10 Agust 2022 në 10:06

Hello doctor! My daughter has had several nosebleeds. She had tests at the hospital and these were the values: Alt-sgpt 8u/l, Plt 134. We received medication, vitamin K and C, and two for the nose for the healing of blood vessels. I also did a blood test for rechecking, and Plt came out 109, lymphocytes 52.7%, granulocytes 41.4%. Please what should I do because tonight she is in the hospital again and the doctors simply tell me to observe, we will wait

Sent by Kristela, më 10 Agust 2022 në 19:07

Hello Kristela, in general, nosebleeds come from damage to the wall of the blood vessels, not from the blood itself, for this reason, it doesn't make sense to assess transaminases. Indeed, most of the clotting factors are produced by the liver, but the tests that assess blood coagulation are: PT, APTT, Fibrinogen, Bleeding Time, and in the peripheral blood analysis, the number of platelets is important. If these are normal, it is a pathology of the local blood vessels and the follow-up is with an ENT doctor (local hemostatic ointment, cauterization, packing, etc.)

Replay from Dr. Shk. Sotiraq Lako, më 12 Agust 2022 në 04:19

Hello doctor, I am 58 years old. I did Hemoglobin Electrophoresis and my results were Hb A 95.5 and Hb A2 4.5, and my blood tests showed RBC (Erythrocytes) 4.87, HGB (Hemoglobin) 10.2, HCT (Hematocrit) 31.3, MCV 64.3, MCH 20.9, RDW-CV 15.2. Please, could you tell me how they came out and what treatment I should take. Thank you

Sent by jolanda, më 18 Agust 2022 në 03:05

Hello Jolanda, you have Thalassemia (Thalassemia Minor), a mild congenital anemia. It is not treated. You will also do ferritinemia

Replay from Dr. Shk. Sotiraq Lako, më 18 Agust 2022 në 03:47

Hello doctor. I am 58 years old. I did Hemoglobin Electrophoresis and got Hb A 95.5 and Hb A2 4.5, and my blood tests showed RBC (Erythrocytes) 4.87, HGB (Hemoglobin) 10.2, HCT (Hematocrit) 31.3, MCV 64.3, MCH 20.9, RDW -CV 15.2. Please, can you tell me how they turned out and what treatment I should take? Comments. Beta Thalassemia Minor. Thank you

Sent by jolanda, më 18 Agust 2022 në 03:23

Hello Jolanda, you are a carrier of Thalassemia (Thalassemia Minor), a mild congenital anemia. It is not treated. You will also do ferritinemia

Replay from Dr. Shk. Sotiraq Lako, më 18 Agust 2022 në 03:47

Hello Doctor!
My fiancé injured his foot a few months ago and after all the natural pain went away without medical intervention, the pain returned to the calf area, leaving him bedridden as he had no strength in his leg but was in a lot of pain. After a visit, they said that blood had clotted in the calf and suggested he take some blood-thinning pills. Could the blood clot have been influenced by the fact that the leg was injured before, or should other blood tests be conducted to check for other issues?
Thank you!

Sent by Eda, më 19 Agust 2022 në 09:44

Hello Eda, it needs to be checked for both inherited and acquired factors, which cause thrombosis. A disease doesn't just happen randomly; there's always a predisposition. We perform the Hypercoagulation Panel, tests that deal with peripheral blood, they are not related to being simple-minded, they are expensive

Replay from Dr. Shk. Sotiraq Lako, më 20 Agust 2022 në 01:35

Hello doctor!
I am 68 years old. Could you please take a look at these tests I have done. And what could I do for treatment, please. HGB 10.7 / MCH 36.2 / MCHC 31.4 / RBC 2.96 / MCV 115 / RDws 77.4 / HCT 34.6
The others are within normal ranges in complete blood work.
I have also done some others that the lab technician told me about.
Total protein 7.03
Total bilirubin 0.6
LDH 212
CRP 0.65
Folic acid 16.25
Vitamin B12 103.00
I feel weak and powerless. I have headaches.
Thank you very much, doctor!

Sent by Hanifja, më 21 Agust 2022 në 08:06

Hello Hanife, you have anemia, probably due to a lack of Vitamin B12. It is anemia that is treatable and responds very well to the proper treatment. The treatment continues for 2 months in a row and then continues with maintenance medication. You will be referred to a hematologist

Replay from Dr. Shk. Sotiraq Lako, më 22 Agust 2022 në 04:41

Hello doctor!
I am 68 years old. Could you please take a look at these tests I have done? And what could be done in terms of treatment, please. HGB10.7 / MCH 36.2 / MCHC 31.4 / RBC 2.96 / MCV 115 / RDWs 77.4 / HCT 34.6
The rest are within normal ranges in the complete blood count.
I have also done some other tests as the lab technician told me.
Total protein 7.03
Total bilirubin 0.6
LDH 212
CRP 0.65
Folic acid 16.25
Vitamin B12 103.00
I feel weak and powerless. I have headaches.
Thank you very much, doctor!

Sent by Hanifja, më 21 Agust 2022 në 08:08

Hello Hanife, you have anemia, probably due to a lack of Vitamin B12. It is a type of anemia that responds very well to proper treatment. The treatment continues for 2 months in a row and then continues with maintenance medication. You will be referred to a hematologist

Replay from Dr. Shk. Sotiraq Lako, më 22 Agust 2022 në 04:41

Please, my daughter is pregnant, 21 years old in the fifth month of pregnancy. Here are her test results: Wbc 14.47, Rbc 3.82, Hgb 11.2, Hct 33.5, Plt 425, Neut 9.63, C-reactive Protein 3, Ferritin 11.6. I note that even when she was not pregnant, her Wbc was 12.2 and sometimes even 11 thousand. Thank you

Sent by Olta, më 29 Agust 2022 në 05:55

Hello Olta, the slight increase in leukocytes is characteristic of pregnancy. The girl has a mild anemia from iron deficiency and needs to be treated with iron supplements

Replay from Dr. Shk. Sotiraq Lako, më 30 Agust 2022 në 06:09

Hello Dr, how are you? I am 27 years old. Since I had been feeling somewhat tired for a few days, I did some tests and the results were RBc 4.10, HCT 36.0, Hb 12.1, ferritin 14, and serum iron 61. My weight is 41 kg. What do you suggest?

Sent by Ana, më 04 September 2022 në 05:14

Hello Ana, you currently have Iron Deficiency and need to take iron supplements, for at least 2 months in a row. The goal of the treatment is for ferritinemia to be at least above 20 ng/ml and the optimal value for females should be around 60 ng/ml

Replay from Dr. Shk. Sotiraq Lako, më 05 September 2022 në 02:00

Hello doctor. In July, my husband had COVID, but I tested negative. One morning I woke up not feeling well and had a cold sore on my lip. Before this, I might have caught a cold from the wind as I felt chilly in a windy environment. After the cold sore healed, I had pain in my right shoulder which caused weakness in my arm, and I couldn't lift it much. A gland in my shoulder swelled up, and now the swelling has gone down, but I can still feel and move the gland. In my throat, on the thyroid or above the thyroid (I'm not sure exactly) on the left side, it swelled up, and I feel a gland when I touch it that slightly bothers me when swallowing and speaking. What concerns me is that my lymph glands swell up from time to time, causing pain and then the pain goes away but leaves a bit of swelling in the gland, respectively in the shoulder and back of the neck. I did blood tests, and my lymphocytes were 41. I had a thyroid ultrasound and found some small cysts. Abdominal ultrasound showed a slightly fatty liver. I have a slight increase in blood sugar but not diabetes. ALT and AST are slightly high. The doctor only suggested a diet and vitamin E 100 mg. I feel weak, as if I'm about to get the flu but haven't had any fever. My almonds are rotten, and I've been struggling with them since I was young. What could I have? Thank you

Sent by Lule, më 07 September 2022 në 08:43

Hello Lule, it is difficult to give a fair opinion on these complaints. You should consult directly with a hematologist, infectious disease specialist

Replay from Dr. Shk. Sotiraq Lako, më 08 September 2022 në 03:06

Hello doctor! I am 32 years old and have low platelets. I have no signs of bleeding, I had a delivery 7 years ago and entered the operating room with platelets at 40. Is there a risk for a second delivery?

Sent by Florinda Bega, më 07 September 2022 në 15:10

Hello Florinda, the device may show low platelet counts, but the true value is the number that comes from counting under the microscope slide, by laboratory specialists. If they are low even in the slide count, you will be referred to a hematologist

Replay from Dr. Shk. Sotiraq Lako, më 08 September 2022 në 03:15

Dr. Sotiraqi, greetings. In a routine analysis for allergies to adrenaline and lidocaine, requested by the dentist due to a decayed tooth, for my 15-16-year-old son, since he had never had anesthesia before, I also requested a complete blood analysis. The blood analysis revealed the following parameters. WBC 7.25; Neutrophils % 48.5; Lymphocytes % 39.9; Monocytes % 8.1; Basophils % 0.7; Eosinophils % 2.8; Neutrophiles 3.52; Lymphocytes 2.89; Monocytes 0.59; Basophils 0.05; Eosinophils 0.20; RBC 5.15; Hematocrit 41.1; Hemoglobin 13.5; MCV 79.8; MCH 26.2; MCHC 32.8; RDW-SD 37.2; RDW-CV 13; PLT 351; PDW 10.8; Mean Platelet Volume 9.6; P-LCR 21.5; PCT 0.34. Erythrocyte sedimentation rate 6. In the analysis, regarding monocytes, therefore, the value of 8.1, it was highlighted in dark because for the age 6 months-18 years the value should be less than 5. I noticed that also in March in a routine analysis the value of monocytes was again 8.2% and approximately the same values in all other blood parameters. The boy has just started school from September 12th onwards and is taking one vial a day of Globyhem since in March his ferritin was 27.9. My question is why in this result the value of monocytes is marked in black? Is there a reason for concern, is it considered a normal value? Does the iron intake and the current decay of some teeth 6-7 grade second affect the value of monocytes in the blood? According to the dentist, the boy has no other symptoms such as fatigue or limb pain. Thank you very much for your availability

Sent by Lorenca, më 19 September 2022 në 02:18

Hello Lorenca, normal analysis. Monocytes 2-10%, or < 1,000 mm3. Ferritinemia is at a good value. Globifer does not replenish iron stores. Dental problems are not related to iron

Replay from Dr. Shk. Sotiraq Lako, më 19 September 2022 në 02:52

Hello doctor,
I wanted to ask you about my mother who recently has been getting red spots under the skin of her hand...
Could you tell me what the cause is and how we can treat it..

Thank you

Sent by Lejla, më 19 September 2022 në 14:06

Hello Lejla, as a rule, they need to be looked at. If they are blood spots, they are common in females, especially in the more exposed areas. They are not a pathology of the blood, but of the blood vessels

Replay from Dr. Shk. Sotiraq Lako, më 20 September 2022 në 05:21

Hello doctor,
I wanted to ask you about my mother, who has recently been getting red spots under the skin of her hand...
Could you tell me what the cause might be and how we can treat it?

Thank you

Sent by Lejla, më 19 September 2022 në 14:06

Hello Lejla, as a rule, they need to be looked at. If they are blood spots, they are common among females, especially in the more exposed areas. They are not a pathology of the blood, but of the blood vessels

Replay from Dr. Shk. Sotiraq Lako, më 20 September 2022 në 05:21

Hello Doctor,

I congratulate you for your work and for the time you take to respond to every person in need.
Please, I wanted to consult with you about some tests for my brother, 28 years old. My brother feels like the taste of blood in his mouth and sometimes he has seen it mixed with his saliva, as a light pink color, he says. It is not very frequent but it has happened 5-6 times over a 5-month period. He had a stomach endoscopy and it showed mild gastritis but the doctor told him that he does not have stomach acid reflux. He also met with an Otorhinolaryngologist and meanwhile, he said that he sees the throat area a bit irritated and sees acid. My brother has no stomach pain, has been very careful with his food lately but still happened to feel the taste of blood. He has had blood tests twice in a 2-week period. Both times monocytes and MPV were out of the normal range, respectively 5.8 (from 6-13) and MPV 13.3 (8.9 - 12.5). I have also sent you a copy of the full tests by email.

Is there anything to worry about? My brother has been very stressed because this blood issue bothers him. What do you suggest?

Thank you endlessly

Sent by Ema, më 02 October 2022 në 10:50

Hello Ema, the blood values are normal. The doctors you have discussed are very important for your issue. It should also be evaluated by a pulmonologist

Replay from Dr. Shk. Sotiraq Lako, më 03 October 2022 në 03:01

Hello Doctor,

I congratulate you on your work and for the time you take to respond to every person in need.
I would like to consult with you about some tests for my brother, 28 years old. My brother feels a blood taste in his mouth and several times has seen it mixed with saliva, as a light pink color, he says. It is not very frequent but has happened about 5-6 times over a 5-month period. He did a stomach endoscopy and was found to have mild gastritis but the doctor told him that he does not have stomach acid reflux. He also met with an Otorhinolaryngologist and meanwhile, he said that he sees the throat area a bit irritated and sees acid. My brother has no stomach pain, has been very careful with food lately but still happened to taste blood. He has had blood tests twice over a 2-week period. Both times monocytes and MPV were outside the norm, respectively 5.8 (from 6-13) and MPV 13.3 (8.9 - 12.5). I have also sent you a copy of the full analyses by email.

Is there anything to be worried about? My brother has been very stressed because this blood issue bothers him. What do you suggest?

Thank you immensely

Sent by Ema, më 02 October 2022 në 10:50

Hello Ema, the blood values are normal. The doctors you have discussed are very important for your problem. It should also be evaluated by a pulmonologist

Replay from Dr. Shk. Sotiraq Lako, më 03 October 2022 në 03:01

Dear doctor, I have had a swollen lymph node just above the armpit for 1 week. I had a breast and armpit ultrasound, and the doctor said there is nothing to worry about, it's just a swollen lymph node. My general blood tests came back normal, only my CRP was 12 out of a maximum of 5. I haven't been sick at all. Plus, I have been taking allergy medication for 8 months now because I have severe itching on my legs and hands. I am scared it might be lymphoma! What do you suggest? I am 29 years old. Thank you very much, doctor

Sent by arjola, më 14 October 2022 në 07:35

Hello Arjola, to evaluate the lymph nodes you need to come in for a physical assessment. The ultrasound is indicative, whether it's reactive enlargement, infectious, or pathological

Replay from Dr. Shk. Sotiraq Lako, më 14 October 2022 në 09:23

Hello Dr, thank you for the previous explanation. I want to ask you a question, please. I am 45 years old and due to excessive bleeding in perimenopause, I was very tired, pale, had difficulty breathing, and did an analysis for anemia and Ferritin, which turned out to be 4.22. I consulted with a gynecologist to eliminate the cause, which is the bleeding, and was given medication. I am taking Globiferr forte, 1 pill per day, +vit C 1000mg - 1 per day, and also taking Duphaston +1 per day. I want to ask you please, is this an appropriate treatment for iron deficiency, not forgetting to tell you that I have been a type 2 diabetic for 4 years and am treated to normal levels, with respect, waiting for a reply

Sent by Esmeralda çela, më 29 October 2022 në 12:11

Hello Esmeralda, it's not the right treatment. The first objective is to stop the bleeding, then to correct Iron Deficiency/Anemia due to Iron Deficiency. Not every preparation can replenish iron stores. Moreover, the correct dosage (180-200 mg elemental iron), proper timing (at least 2 months consecutively) must be taken. Vitamin C helps, there's no need to take iron injections and "tons" of Vitamin C

Replay from Dr. Shk. Sotiraq Lako, më 30 October 2022 në 01:57

Hello Dr., thank you for the explanation above. I want to ask you a question, please. I am 45 years old and due to excessive bleeding in perimenopause, I was very tired and had difficulty breathing, and I did a test for anemia and Ferritin came out 4.22. I consulted with a gynecologist to eliminate the cause, which is the bleeding, and he prescribed me medication. I am taking Globiferr forte 1 tablet per day, +vit C1000mg - 1 per day, and an additional Duphaston +1 per day. I want to ask you please if this is the right treatment for iron deficiency, not forgetting to mention that I have been a type 2 diabetic for 4 years and am treated with normal values. With respect, waiting for an answer

Sent by Esmeralda çela, më 29 October 2022 në 12:12

Hello Esmeralda, it is not the right treatment. The first objective is to stop the bleeding, then to correct Iron Deficiency/Anemia from Iron Deficiency. Not every preparation can fill up the iron stores. Furthermore, the correct dose (180-200 mg elemental iron) must be taken, at the right time (for at least 2 consecutive months). Vitamin C is helpful, there's no reason to take iron injections and "tons" of Vitamin C

Replay from Dr. Shk. Sotiraq Lako, më 30 October 2022 në 01:57

Hello doctor... I am 22 years old... during my first pregnancy I found out that I have thalassemia minor from the tests I took... my hemoglobin was 9.4... I continued with treatments and it never rose above 9.5... whereas in my second childbirth, my hemoglobin was 5.7... I received blood and my hemoglobin went up to 6.8... the baby is 3 months old and is breastfed and I still haven't taken any medication for myself... and I feel extremely tired, have joint pains, dizziness, and fainting spells..

Sent by Stelina, më 03 November 2022 në 03:49

Hello Stelina, Thalassemia minor is not treated. What is innate does not change. Do a ferritinemia test, if you have an iron deficiency, you will be treated with iron supplements for 2 consecutive months

Replay from Dr. Shk. Sotiraq Lako, më 03 November 2022 në 09:21

Hello doctor. I am 30 years old. In my last blood analysis, I had the following values RBC 5.35; Hematocrit 41.4; Hemoglobin 13.3; MCV 77.4; MCH 24.9; MCHC 32.1; serum iron 38.79 and ferritin 29.2. I also did the Hemoglobin electrophoresis: Hb A 97.26% and Hb A2 2.74%.
Do I need to take any medication for MCV/MCH? Thank you!

Sent by Lola, më 11 November 2022 në 04:30

Hello Lola, complete blood count and hemoglobin electrophoresis are normal. Ferritin is 29 ng/ml, which is a good value (> 20 ng/ml), but the optimal value for females is around 60-70 ng/ml, so you can take iron to achieve this goal

Replay from Dr. Shk. Sotiraq Lako, më 11 November 2022 në 04:41

Hello doctor. I am 30 years old. In my latest blood analysis, these were my values: RBC 5.35; Hematocrit 41.4; Hemoglobin 13.3; MCV 77.4; MCH 24.9; MCHC 32.1; Serum Iron 38.79 and Ferritin 29.2. I also had Hemoglobin electrophoresis: Hb A 97.26% and Hb A2 2.74%. Do I need to take any medication for MCV/ MCH? Thank you!

Sent by Lola, më 11 November 2022 në 04:52

Thank you, doctor. Please, could you recommend a type of iron I could use? Currently, I take 4 mg of corticosteroids & Plaquenil for lupus. I also use 1000 mg of vitamin D daily

Sent by Lola, më 11 November 2022 në 04:54

Hello Lola, what do you remind me of what you will take the iron for?

Replay from Dr. Shk. Sotiraq Lako, më 11 November 2022 në 06:19

Thank you, Doctor. Could you please recommend a type of iron I can use? I am currently taking 4 mg of corticosteroids & Plaquenil for lupus. I also use 1000 mg of Vitamin D daily

Sent by Lola, më 11 November 2022 në 04:55

Thank you, doctor. Could you please recommend a type of iron that I can use? I am currently taking 4 mg of corticosteroids & Plaquenil for lupus. I also take 1000 mg of vitamin D daily

Sent by Lola, më 11 November 2022 në 04:56

Hello Lola, do you remind me what you will take the iron for?

Replay from Dr. Shk. Sotiraq Lako, më 11 November 2022 në 06:19

Thank you, doctor. Could you please recommend a type of iron that I could use? Currently, I am taking 4 mg of corticosteroids & Plaquenil for lupus. I also take 1000 mg of vitamin D daily

Sent by Lola, më 11 November 2022 në 04:58

Hello Lola, can you remind me what you will take the iron for?

Replay from Dr. Shk. Sotiraq Lako, më 11 November 2022 në 06:18

You recommended iron above for my ferritin which is 29.2. Thank you

Sent by Lola, më 11 November 2022 në 06:38

1-Heferol 350 mg 1 capsule/day - 30 capsules/month.
2-Vitamin C 100 mg 1 tablet/day - 30 tablets/month.
The patient will be rechecked after 1 month of treatment with a complete blood count + ferritin levels (the normal minimum value for adult females is 20 ng/ml and the optimal value is 60-70 ng/ml)

Replay from Dr. Shk. Sotiraq Lako, më 11 November 2022 në 08:06

Hello!
My mom suffers from Jack 2 positive Myelofibrosis, portal vein thrombosis, has had esophageal varices banding, and is followed up and treated in Italy. It's been a month since she came to Albania, she takes Coumadin 5 mg, every three weeks she does tests for the INR level and receives a scheme on how to take Coumadin. Three weeks ago, her INR was 2.8 and she has been taking 3 quarters of a Coumadin pill every day, yesterday she did the tests and her INR was 2.92. In the absence of a hepatologist in my area, could you help me with the therapy scheme on how she should take it?
These weeks she has been complaining about stomach pain, fatigue, and weakness

Sent by Bora , më 24 November 2022 në 09:46

Hello Bora, the value is still good. The INR value is not related to stomach pain, weakness, fatigue

Replay from Dr. Shk. Sotiraq Lako, më 26 November 2022 në 02:43

Hello dr,
Thank you for the response!
How should Coumadin be taken if INR has been 2.92 for 3 consecutive weeks?

Sent by Bora , më 26 November 2022 në 02:57

Hello Bora, the value of 2.9 is still within the required limits. You will discuss with the doctor who gave you Coumadin for the continuation

Replay from Dr. Shk. Sotiraq Lako, më 27 November 2022 në 10:43

Hello doctor! My period always comes 4 days before or after the date, this month I was supposed to get it on the 27th but it hasn't come yet. I had my last sexual encounter two weeks ago, I took a test and it came out negative. How long can a period delay be considered normal?

Sent by Anaa, më 30 November 2022 në 13:26

Hello Ana, you will discuss with the obstetrician

Replay from Dr. Shk. Sotiraq Lako, më 01 December 2022 në 03:08

Hello doctor. I am Imeri from Kosovo. I am 36 years old. I wanted to ask. I have been suffering from anxiety and depression for 3 years and my doctor has prescribed me medication which I have used, but I have also been given folic acid 5mg once a day. I have been using it regularly for three years. Could it harm my health to use it so much?

Sent by Senad, më 05 December 2022 në 16:18

Hello Senad, it doesn't do harm, but it also has no value if it's not necessary to take it. It's not related to anxiety

Replay from Dr. Shk. Sotiraq Lako, më 06 December 2022 në 03:17

Hello doctor! In the latest tests, APTT had a value of 60 with a maximum of 43. What does this mean? Is medication needed? INR and the level of Prothrombin were normal

Sent by Anisa, më 12 December 2022 në 08:31

Hello Anisa, it is an abnormal value, which usually favors bleeding. Repeat it once again

Replay from Dr. Shk. Sotiraq Lako, më 13 December 2022 në 07:06

Hello Doctor, I am pregnant in week 24. I have hemoglobin 11, HCT 32, and RBC 3.6 and ferritin 27 ng/ml. I just started Heferol once a day along with vitamin C 500mg, in addition to the pregnancy multivitamins, but the local gynecologist told me that Heferol doesn't work; take Norhem, what do you think, please? Thank you

Sent by Ina , më 19 December 2022 në 05:18

Hello Ina, Heferol is the most successful preparation in Albania. Take it for 1 month and recheck complete blood, ferritinemia

Replay from Dr. Shk. Sotiraq Lako, më 19 December 2022 në 08:05

Hello Doctor, I am 24 weeks pregnant. I have hemoglobin 11, HCT 32, and RBC 3.6, and ferritin 27 ng/ml. I just started Heferol once a day along with vitamin C 500mg, in addition to the pregnancy multivitamins, but the local gynecologist told me that Heferol doesn't work, take Norhem, what do you think, please? THANK YOU

Sent by Ina , më 19 December 2022 në 05:18

Hello Ina, Heferoli is the most successful preparation in Albania. Take it for 1 month and recheck complete blood, ferritinemia

Replay from Dr. Shk. Sotiraq Lako, më 19 December 2022 në 08:05

Hello Doctor, I am 24 weeks pregnant. I have a hemoglobin of 11, HCT 32, and RBC 3.6, and ferritin 27 ng/ml. I just started taking Heferol once a day along with 500mg of vitamin C, in addition to prenatal multivitamins, but the local gynecologist told me that Heferol doesn't work, take Norhem instead, what do you think please? Thank you

Sent by Ina , më 19 December 2022 në 05:20

Hello Doctor, I am 24 weeks pregnant. I have hemoglobin 11, HCT 32, and RBC 3.6, and ferritin 27 ng/ml. I just started taking Heferol once a day along with vitamin C 500mg, in addition to the prenatal multivitamins, but the local gynecologist told me that Heferol doesn't work, take Norhem instead, what do you think please? Thank you

Sent by Ina , më 19 December 2022 në 05:36

Hello Ina, Heferol is the most successful preparation in Albania. Take it for 1 month and then re-check your complete blood count, ferritinemia

Replay from Dr. Shk. Sotiraq Lako, më 19 December 2022 në 08:05

Hello Doctor! I am 37 years old and have been diagnosed with Heterozygous Factor V Leiden. Last year, I had 2 spontaneous miscarriages, one at 13 weeks and the other at 9 weeks.
What therapy should I start during pregnancy planning and during pregnancy itself? And during normal life circumstances (not pregnancy), what treatment should I use or how often should I have check-ups against thrombosis?
Thank you!

Sent by Elvira, më 22 December 2022 në 20:20

Hello Elvira, there is a problem that cannot be clarified on this page. Can you come to the Hospital, to discuss?

Replay from Dr. Shk. Sotiraq Lako, më 23 December 2022 në 02:49

Hello Doctor! I am 37 years old and have been diagnosed with Heterozygous Factor V Leiden. Last year, I had 2 miscarriages, one at 13 weeks and the other at 9 weeks.
What kind of therapy should I start during pregnancy planning and during pregnancy itself? Also, during normal life conditions (not pregnant), what kind of medication should I use or how often should I undergo checks for thrombosis?
Thank you!

Sent by Elvira, më 23 December 2022 në 07:45

Hello Elvira, there is a problem that cannot be clarified on this page. Can you come to the Hospital, to discuss?

Replay from Dr. Shk. Sotiraq Lako, më 25 December 2022 në 02:06

Hello Doctor! I am 37 years old and have been diagnosed with Heterozygous Factor V Leiden. Last year, I experienced 2 miscarriages, one at 13 weeks and the other at 9 weeks. What kind of treatment should I start during pregnancy planning and during pregnancy itself? And during normal life conditions (not pregnant), what kind of medication should I use, or how often should I have checks for thrombosis? Thank you!

Sent by Elvira, më 25 December 2022 në 07:04

Hello Elvira, there is a problem that cannot be clarified on this page. Can you come to the Hospital, to discuss?

Replay from Dr. Shk. Sotiraq Lako, më 25 December 2022 në 11:17

Hello, doctor!
I did a complete blood count for my son, who is 19 years old, and received these results.
WBC 9.79 / MCH 22.3 from 26.5 which is the minimum / RBC 6.16 from 6 which is the maximum / MCV 68.1 from 82 minimum / PSWs 17.1 from 15 which is the maximum / PSWc 16.1 from 15 which is the maximum.
His hemoglobin is 13.7
The other values are within the normal range.
The boy has minor congenital anemia.
I don't know if there is any problem?
I have also done the ferritin and I am waiting for the result.
Thank you!

Sent by Anila, më 29 December 2022 në 06:54

Hello Anila, these are the characteristic changes of Thalassemia Minor

Replay from Dr. Shk. Sotiraq Lako, më 30 December 2022 në 07:47

Hello doctor!
I did a complete blood test for my son, he is 19 years old and I got these results.
WBC 9.79 / MCH 22.3 from 26.5 which is the minimum / RBC 6.16 from 6 which is the maximum / MCV 68.1 from 82 minimum / PSWs 17.1 from 15 which is the maximum / PSWc 16.1 from 15 which is the maximum.
His hemoglobin is 13.7
The other values are within the normal range.
The boy has minor congenital anemia.
I don't know if there is any problem?
I have also done the ferritin and am waiting for the result.
Thank you!

Sent by Anila, më 29 December 2022 në 12:23

Hello Anila, these are the characteristic changes of Thalassemia Minor

Replay from Dr. Shk. Sotiraq Lako, më 30 December 2022 në 07:47

Hello doctor!
I wish you a good year full of health and success!

I apologize for bothering you, but if you could tell me if I should give iron to my son. His ferritin came out to 60.23. I wrote to you two days ago with the analysis data.
Thank you very much!

Sent by Anila, më 31 December 2022 në 00:32

Hello Anila, it is currently within normal limits. There is no need for medication

Replay from Dr. Shk. Sotiraq Lako, më 31 December 2022 në 09:03

Hello doctor!
I wish you a good year full of health and success!

I apologize for bothering you, but if you could tell me if I need to give iron to my son.
His ferritin came out to 60.23.
I wrote to you two days ago with the analysis data.
Thank you very much!

Sent by Anila, më 31 December 2022 në 00:32

Hello Anila, it is currently within normal range. There is no need for medication

Replay from Dr. Shk. Sotiraq Lako, më 31 December 2022 në 09:03

Hello doctor!
I wish you a good year for 2023!
May God reward this good work you do and help us with your advice!
I am 67 years old, I have done some analyses and I have these results.
I am writing only those that are outside the norms.
HGB 11.9 from a minimum of 12.
RBC 3.97 from a minimum of 4.00
HTC 35.07 from 35
Sediment 40
Ferritin 13

The local doctor has given me this medication.
Ferritin syrup 62.5/8ml twice a day.
Ferro 3 forte 10 ml (1 vial per day) orally
Folic acid 3 times a pill.

I don't know if it's the right medication. Some time ago I was treated with folic acid and B6 three times a day. And B12 injections once a day because my RBC was very low.
Thank you very much!

Sent by Lume, më 02 January 2023 në 08:00

Hello Lume, Happy New Year and all the best to you and your family. You have Iron Deficiency. The preparations you are taking contain iron, but the medication is very scattered. Take Heferol 350 mg 2 x 1 capsule/day, plus Vitamin C 100 mg 2 x 1 tablet per day, for 1-1.5 months in a row. Recheck after treatment with ferritinemia. Why ferritinemia is low needs to be evaluated

Replay from Dr. Shk. Sotiraq Lako, më 03 January 2023 në 06:05

Hello doctor!
I wish you a good year for 2023!
May God reward you for the good work you do and for helping us with your advice!
I am 67 years old, I have done some tests and these are the results.
I am only writing those that are out of the norm.
HGB 11.9 from a minimum of 12.
RBC 3.97 from a minimum of 4.00
HTC 35.07 from 35
Sediment 40
Ferritin 13

The local doctor has given me this medication.
Ferritin syrup 62.5 /8ml twice a day.
Ferro 3 forte 10 ml (1 vial per day) orally
Folic acid 3 times one tablet.

I don't know if it is the right medication. Some time ago, I was treated with folic acid and B6 three times a day. And B12 injections once a day because I had very low RBC.
Thank you very much!

Sent by Lume, më 02 January 2023 në 15:58

Hello Lume, Best wishes to you and your family. You have Iron Deficiency. The preparations you are taking contain iron, but the treatment is very poorly managed. Take Heferoli 350 mg 2 x 1 capsule/day, plus Vitamin C 100 mg 2 x 1 tablet per day, for 1-1.5 months straight. Recheck after treatment with ferritinemia. Why ferritinemia is low needs to be assessed

Replay from Dr. Shk. Sotiraq Lako, më 03 January 2023 në 06:04

Hello doctor!
I wish you a good year for 2023!
May God reward this good work you do and help us with your advice!
I am 67 years old, I have done some tests, and these are the results.
I am only writing those that are outside the norms.
HGB 11.9 from a minimum of 12.
RBC 3.97 from a minimum of 4.00
HTC 35.07 from 35
Sediment 40
Ferritin 13

The local doctor has given me this medication.
Ferritin syrup 62.5 /8ml twice a day.
Ferro 3 forte 10 ml (1 vial per day) orally
Folic acid 3 times one pill.

I don't know if it's the right medication. Some time ago I was treated with folic acid and B6 three times a day. And B12 injections once a day because I had very low RBC.
Thank you very much!

Sent by Lume, më 02 January 2023 në 16:30

Hello Lume, Happy New Year and best wishes to you and your family. You have an Iron Deficiency. The preparations you are taking contain iron, but the treatment is very haphazard. Take Heferol 350 mg 2 x 1 capsule/day, plus Vitamin C 100 mg 2 x 1 tablet per day, for 1-1.5 months straight. Recheck after treatment with ferritinemia. Why the ferritinemia is low needs to be evaluated

Replay from Dr. Shk. Sotiraq Lako, më 03 January 2023 në 06:04

Hello doctor!
I hope for a good year in 2023!
May God reward you for the good work you do and for helping us with your advice!
I am 67 years old, I have done some tests and these are the results.
I am writing only those that are out of the normal range.
HGB 11.9 from a minimum of 12.
RBC 3.97 from a minimum of 4.00
HTC 35.07 from 35
Sedimentation rate 40
Ferritin 13

The local doctor has given me this medication.
Ferritin syrup 62.5/8ml twice a day.
Ferro 3 forte 10 ml (1 vial per day) orally
Folic acid 3 times one pill.

I don't know if it's the right medication. Some time ago I was treated with folic acid and B6 three times a day. And B12 injections once a day because my RBC was very low.
Thank you very much!

Sent by Lume, më 02 January 2023 në 16:33

Hello Lume, Happy New Year and best wishes to you and your family. You have Iron Deficiency. The preparations you are taking do contain iron, but the treatment is very confusing. Take Heferoli 350 mg 2 x 1 capsule/day, plus Vitamin C 100 mg 2 x 1 tablet per day, for 1-1.5 months in a row. Recheck after treatment with ferritinemia. Why the ferritinemia is low needs to be assessed

Replay from Dr. Shk. Sotiraq Lako, më 03 January 2023 në 06:04

Hello, I have done routine check-up analyses, I am 41 years old. All parameters were within normal limits except for PCT 0.44 (normal range was 0.17 - 0.35) and LDL cholesterol 93.07 (normal range 135-165) and triglycerides 44.42 (normal range 45-150). Is there anything to worry about? Thank you

Sent by Olta, më 06 January 2023 në 12:01

Hello Olta, there's nothing to worry about

Replay from Dr. Shk. Sotiraq Lako, më 07 January 2023 në 05:33

Hello Olta, there is nothing to worry about

Replay from Dr. Shk. Sotiraq Lako, më 07 January 2023 në 05:34

Hello, I have done routine check-up analyses, I am 41 years old. All parameters came back within normal range except for PCT 0.44 where the norm was 0.17 - 0.35 and LDL cholesterol 93.07 where the norm was 135-165 and triglycerides 44.42 where the norm was 45-150. Is there anything to worry about? Thank you

Sent by Olta, më 06 January 2023 në 16:15

Hello Olta, there's nothing to worry about

Replay from Dr. Shk. Sotiraq Lako, më 07 January 2023 në 05:34

Hello, I have done routine check-up analyses, I am 41 years old. All parameters were within the normal range except for PCT 0.44 where the norm was 0.17 - 0.35, and LDL cholesterol 93.07 where the norm is 135-165, and triglycerides 44.42 where the norm is 45-150. Is there anything to worry about? Thank you

Sent by Olta, më 07 January 2023 në 14:05

Hello Olta, there is nothing to worry about

Replay from Dr. Shk. Sotiraq Lako, më 08 January 2023 në 03:36

Hello, I have done routine checkup analyses, I am 41 years old. All parameters came back normal except PCT 0.44 with the normal range being 0.17 - 0.35 and LDL cholesterol 93.07 with the normal range 135-165, and triglycerides 44.42 with the normal range 45-150. Is there anything to worry about? Thank you

Sent by Olta, më 07 January 2023 në 16:20

Hello Olta, there is nothing to worry about

Replay from Dr. Shk. Sotiraq Lako, më 08 January 2023 në 03:36

Hello, I have done routine checkup analyses, I am 41 years old. All parameters have come out within the normal range except for PCT 0.44 where the normal range was 0.17 - 0.35 and LDL cholesterol 93.07 where the normal range was 135-165, and triglycerides 44.42 where the normal range was 45-150. Is there anything to worry about? Thank you

Sent by Olta, më 08 January 2023 në 14:56

Hello Olta, there is nothing to worry about

Replay from Dr. Shk. Sotiraq Lako, më 09 January 2023 në 08:51

Hello doctor, happy new year, one question, I am 27 weeks pregnant, I take Heferol once a day and aspirin once a day, do they affect each other? Thanks

Sent by Ina , më 09 January 2023 në 04:15

Hello Ina, they do not affect, why you take them must be discussed

Replay from Dr. Shk. Sotiraq Lako, më 09 January 2023 në 08:51

Hello doctor, I am very worried, I need an answer from you please, I have spoken with many doctors, they have told me that it is past and there is no reason to worry.
VCA IgM antibodies negative
VCA/EA positive
IgG positive
The infection in the tests shows that it is past! An answer, please

Sent by Xhulina, më 14 January 2023 në 22:46

Hello Xhuliana, your answers indicate that you have previously had a viral infection (Infectious Mononucleosis). It's an infection that everyone goes through. It is not treated when it is active (VCA IgM positive)

Replay from Dr. Shk. Sotiraq Lako, më 15 January 2023 në 03:14

Hello doctor, I am very anxious for a response from you, please. I have spoken with many doctors and they have told me that it is in the past and there is no problem to worry about.
VCA IgM antibodies negative
VCA/EA positive
IgG positive
The infection in the tests shows that it is past! A response, please

Sent by Xhulina, më 14 January 2023 në 22:46

Hello Xhuliana, your answers show that you have previously had a viral infection (Infectious Mononucleosis). It is an infection that everyone gets. It is not treated and when it is active (VCA IgM positive)

Replay from Dr. Shk. Sotiraq Lako, më 15 January 2023 në 03:14

Dear doctor, what should I do with this thing, what do you advise me, how should I be careful? Please

Sent by Xhuliana, më 15 January 2023 në 04:15

Hello Xhuliana, nothing happens, a laboratory change that we all have. For details, you will discuss with the infectious disease doctor

Replay from Dr. Shk. Sotiraq Lako, më 16 January 2023 në 03:52

Dear doctor, what should I do with this thing, what do you advise me, how should I be careful? Please

Sent by Xhuliana, më 15 January 2023 në 04:17

Hello Xhuliana, nothing is done, a laboratory change that we all have. For details, you will discuss with the infectious disease doctor

Replay from Dr. Shk. Sotiraq Lako, më 16 January 2023 në 03:52

Please, can you help me take a look at my mother's blood work? She finished chemotherapy in December (uterine tumor) and is anemic, feeling weak.

WBC - White Blood Cells 7.11
RBC - Red Blood Cells 3.24
HGB - Hemoglobin 8.6 g/dl
HCT - Hematocrit 27.1 %
MCV - Mean Corpuscular Volume 83.6 fl
MCH - Mean Corpuscular Hemoglobin 26.5 pg
MCHC - Mean Corpuscular Hemoglobin Concentration 31.7 g/dl
PLT - Platelets 343
RDWsd - Red Cell Distribution Width-Standard Deviation 52.7
RDWcv - Red Cell Distribution Width-Coefficient of Variation 17.2 %
PDW - Platelet Distribution Width 9.1
MPV - Mean Platelet Volume 9.4
P-LCR - Large Platelet Concentration Ratio 19.2 %
PCT - Plateletcrit 0.32 %
NEUT - Neutrophils 4.73
LYMPH - Lymphocytes 1.39
MONO - Monocytes 0.58
EO - Eosinophils 0.37
BASO - Basophils 0.04
NEUT% - Neutrophils 66.5 %
LYMPH% - Lymphocytes 19.5 %
MONO% - Monocytes 8.2 %
EO% - Eosinophils 5.2 %
BASO% - Basophils 0.6 %
IG% 1.8 %
Erythrocyte Sedimentation Rate 52 mm/h

Sent by Elona, më 02 February 2023 në 12:52

Hello Elona, your mother has Grade II Anemia, which is moderate. It's difficult to solve the problem with just one analysis. Ferritinemia, Vitamin B12, Azotemia, and Creatinine would be needed

Replay from Dr. Shk. Sotiraq Lako, më 03 February 2023 në 08:37

Hello Dr. Sotiraq Lako!
I hope you are well! I just want to thank you very much for your so humane, noble, and caring work that you continue to do every day! After having a check-up to see my health condition, a friend of mine who lives in Permet recommended me to read your page, so full of our health problems, and here I am seeing and reading from the answers the help, patience, and kindness that you convey to all of us, the respected and honored Dr. Sotiraq Lako! With much respect and love, I congratulate and thank you, Rita Londer! God Bless you and your family!

Sent by Rita Emmett , më 03 February 2023 në 04:02

Hello Rita and I greet you

Replay from Dr. Shk. Sotiraq Lako, më 03 February 2023 në 08:34

Hello Dr. Sotiraq Lako!
I hope you are well! I just want to thank you very much for your very humane, noble, and kind work that you continue to do every day! After having a check-up to see my health condition, a friend of mine who lives in Permet recommended me to read your page, so full of our health issues, and here I am seeing and reading from the responses and the patience and kindness that you convey to all of us, the respected and honored Dr. Sotiraq Lako! With much respect and love, I congratulate and thank you, Rita Londer! God Bless you and your family!

Sent by Rita Emmett , më 04 February 2023 në 01:16

And I greet you, Rita

Replay from Dr. Shk. Sotiraq Lako, më 04 February 2023 në 09:28

Patient: H. Hoxha
Gender: M
Birthday: 70 years old
Date of sample collection: 16.12.2022
G11105468
Origin:
(70 years old)

Name of Test Result Unit Reference Assessment
Complete Blood
WBC (Leukocytes) 11.00 x10^3/uL 4 - 11
RBC (Erythrocytes) 5.08 x10^6/uL 4.5 - 5.8
HGB (Hemoglobin) 16.3 g/dL 13 - 16 *
HCT (Hematocrit) 50.6 % 36 - 44 *
MCV 99.5 fL 80 - 100
MCH 32.1 pg 26 - 34
MCHC 32.2 g/dL 31 - 37
PLT (Platelets) 217 x10^3/uL 150 - 450
LYM% 57.4 % 24 - 44 *
MONO% 7.65 % 3 - 10
EO% 2.30 % 0 - 5
BASO% 2.30 % 0 - 1 *
Neut% 30.4 % 40 - 60 *
Lym 6.34 x10^3/uL -
MONO 0.845 x10^3/uL -
EO 0.255 x10^3/uL -
BASO 0.255 x10^3/uL -
Neut 3.35 x10^3/uL 1.8 - 8.47
RDW -CV 12.7 % 0 - 14.5
PDW 19.7 fL 9.5 - 18.5 *
MPV 5.99 fL 8.5 - 13.5 *
PCT 0.130 % 0.17 - 0.35 *
Notes: Leukocyte formula:
Bands 4 %
Segments 22 %
Eosinophils 4 %
Basophils 1 %
Lymphocytes 60 %
Monocytes 9 %
In the leukocyte formula, absolute lymphocytosis is observed.

*Greetings Doctor, I kindly ask for advice regarding the above. After this analysis, my father was suggested to do a JAK2 test, and it came out negative. They suspect spinal cord cancer, but on the other hand, they asked him to quit smoking (a smoker for over 50 years) and to see if the values will decrease.
Do you think the situation is really critical, or is it enough for him to quit smoking?

Thank you

Sent by Adi, më 08 February 2023 në 09:21

Hello, for JAK2 I don't see the need to be done. Elevated lymphocytes need to be assessed. For this, the leukocyte immunophenotyping analysis is performed, Hematology Service, QSUT

Replay from Dr. Shk. Sotiraq Lako, më 09 February 2023 në 04:00

Hello doctor. I had a blood test for my annual check-up primarily to check for fats, and it showed HGB above normal, 18.7 g/dl, MCHC above normal 39.1 g/dl, and RDWs above normal 50.0 fl.

I am not a smoker, except for the rare occasion when I might smoke a cigarette a week, but I occasionally stay near people who smoke in enclosed spaces (since I read that high HGB comes from smoking). I don't know if physical activity (gym, football) could contribute to dehydration (again, something I read that affects high HGB).

Is there a need to follow up on this, or for further tests? If you need them, I can send you the full document of the analysis by email, and also last year's results for reference (where HGB was 17.5).

Thank you, good luck with your work

Sent by Franc, më 09 February 2023 në 03:53

Hello Franc, it is a value worth considering. It repeats and if it persists, you should discuss with a hematologist. Tobacco is one of the few possibilities

Replay from Dr. Shk. Sotiraq Lako, më 09 February 2023 në 04:01

Hello doctor, I hope you are well. I am 46 years old and three months ago I had my annual check-up and my HCT was 50.1, Bilirubin T 1.14, and Triglycerides were 201 while the others were normal. I did them again today and have these deviations: HGB 16.9, RBC 5.83, Triglycerides 159, LDL 149, VLDL 31.86, Total Cholesterol 208. The rest are all normal, including those that were above normal three months ago. Please, I need your opinion on whether I should be worried or not? I wish you all the best! Regards!

Sent by Bledi, më 11 February 2023 në 11:48

Hello Bledi, the value of hemoglobin and hematocrit are slightly elevated. They do not cause concerns, monitor them

Replay from Dr. Shk. Sotiraq Lako, më 13 February 2023 në 03:34

Hello doctor, I hope you are well. I am 46 years old and 3 months ago I did my annual check-up and had the following results: HCT 50.1, Total Bilirubin 1.14, Triglycerides 201, while the others were within normal limits. I did the tests again today and I have these deviations: HGB 16.9, RBC 5.83, Triglycerides 159, LDL 149, VLDL 31.86, Cholesterolemia 208. The rest are all normal, including those that were above normal 3 months ago. Please, I need your opinion on whether I should be worried or not? I wish you all the best! Regards!

Sent by Bledi, më 12 February 2023 në 01:38

Hello Bledi, the hemoglobin value and hematocrit are slightly elevated. they do not cause concerns, they are monitored

Replay from Dr. Shk. Sotiraq Lako, më 13 February 2023 në 03:34

Hello,
I want to ask how long after a transfusion should a complete blood count (CBC) be done to see the real change in hemoglobin, red blood cells, and hematocrit?
Thank you

Sent by Yllka , më 12 February 2023 në 11:34

Hello Yllka, as a rule, a successful transfusion increases hemoglobin by 0.8-1 g/dl

Replay from Dr. Shk. Sotiraq Lako, më 13 February 2023 në 03:32

Hello,
I want to ask how long after the transfusion should a complete blood count be done to see the real change in hemoglobin, erythrocytes, and hematocrit?
Thank you

Sent by Yllka , më 13 February 2023 në 02:25

Hello Esi, as a rule, a successful transfusion increases hemoglobin by 0.8-1 gr/dl

Replay from Dr. Shk. Sotiraq Lako, më 13 February 2023 në 03:32

Hello, I wanted to ask how long after a transfusion should a patient who undergoes transfusion due to anemia wait before doing a blood test to see how much the hemoglobin has changed?
Thank you

Sent by Esi xhyvelaj, më 13 February 2023 në 02:36

Hello Esi, as a rule, a successful transfusion increases the hemoglobin by 0.8-1 gr/dl

Replay from Dr. Shk. Sotiraq Lako, më 13 February 2023 në 03:32

Hello, I wanted to ask how long after a transfusion should a patient who undergoes transfusion due to anemia have a blood test to see how much the hemoglobin has changed?
Thank you

Sent by Esi xhyvelaj, më 13 February 2023 në 03:10

Hello Esi, as a rule, a successful transfusion increases hemoglobin by 0.8-1 gr/dl

Replay from Dr. Shk. Sotiraq Lako, më 13 February 2023 në 03:32

Hello, I wanted to ask how long after a transfusion due to anemia should a patient have a blood test to see how much their hemoglobin has changed?
Thank you

Sent by Esi xhyvelaj, më 13 February 2023 në 03:11

Hello Esi, as a rule, a successful transfusion increases hemoglobin by 0.8-1 gr/dl

Replay from Dr. Shk. Sotiraq Lako, më 13 February 2023 në 03:31

Hello,
Thank you for the answers.
I want to ask you about the results of the COMPLETE BLOOD COUNT and others which have these results:
Red Blood Cells (RBC)* 2.80 4 - 5 x10^/µL > 18 year
Hematocrit (HCT)* 19.6 36 - 48 % > 18 year
Hemoglobin (HGB)* 5.6 12 - 16 g/dL > 18 year
MCV* 70.0 84 - 96 fL > 18 year
MCH* 20.0 28 - 34 pg > 18 year
MCHC* 28.6 32 - 36 g/dL > 6 year
RDW-SD 51.8 37 - 54 fL
RDW-CV 20.4 11 - 16
Sideremia 11.24 micrograms/dl, normal-37-145 micrograms/dl
Ferritin (Serum)* 307.0 ng/mL normal 13 - 150 ng/mL > 18 year
Erythrocyte sedimentation rate -146

Sent by esi , më 13 February 2023 në 04:49

Hello Esi, there are changes that the patient needs to present to the hematologist

Replay from Dr. Shk. Sotiraq Lako, më 14 February 2023 në 07:27

Hello,
Thank you for the answers.
I want to ask you regarding the results of the COMPLETE BLOOD ANALYSIS and others which have these results:
Red Blood Cells (RBC)* 2.80 4 - 5 x10^/µL > 18 year
Hematocrit (HCT)* 19.6 36 - 48 % > 18 year
Hemoglobin (HGB)* 5.6 12 - 16 g/dL > 18 year
MCV* 70.0 84 - 96 fL > 18 year
MCH* 20.0 28 - 34 pg > 18 year
MCHC* 28.6 32 - 36 g/dL > 6 year
RDW-SD 51.8 37 - 54 fL
RDW-CV 20.4 11 - 16
Sideremia 11.24 microgram/dl, normal-37-145 microgram/dl
Ferritin (Serum)* 307.0 ng/mL normal 13 - 150 ng/mL > 18 year
Erythrocyte sedimentation rate -146

Sent by esi , më 13 February 2023 në 06:56

Hello Esi, there are changes that the patient needs to present to the hematologist

Replay from Dr. Shk. Sotiraq Lako, më 14 February 2023 në 07:27

Hello Dr. Lako. I am concerned about my father because he has some elevated indicators in his blood formula. WBC 11.65, LYMPH 5.91, LYMPH% 50.7, ERYTHROSEDIMENTATION 6mm/h, the others are normal and the biochemical analyses are OK except for TRIGLYCERIDES 193 and TOTAL CHOLESTEROL 218. Age 70 years. I await your response, thank you in advance

Sent by Nertila, më 13 February 2023 në 08:04

Hello Nertila, there is an increase that needs to be assessed by the hematologist for its importance

Replay from Dr. Shk. Sotiraq Lako, më 14 February 2023 në 07:28

Hello Dr. Lako. I am worried about my father since he has some elevated indicators in his blood count. WBC 11.65, LYMPH 5.91, LYMPH % 50.7, ERYTHROCYTE SEDIMENTATION RATE 6mm/h, the others are normal and the biochemical analyses are Ok except for TRIGLYCERIDES 193 and TOTAL CHOLESTEROL 218. Age 70 years. I await your response, thank you in advance

Sent by Nertila, më 13 February 2023 në 08:04

Hello Nertila, there is an increase that needs to be assessed by the hematologist for its importance

Replay from Dr. Shk. Sotiraq Lako, më 14 February 2023 në 07:28

Hello Dr,
I repeated the tests 3 weeks after a surgical intervention (subtotal gastrectomy) and the following values have increased compared to 2 weeks ago:

PLTs from 278 -> 338 Ref: 150-400
MPV from 7.4 -> 10.5 Ref: 7.2-11.1 fL

Other results above normal/on the border:

Erythrocyte Sedimentation Rate 28 Ref: 1-15mm/h
PCT 0.36 Ref: 0.12-0.36
PDW 60.7 Ref: 25-65%
MCV 100.6 Ref: Ref: 80-100fL
MCH 35.4 Ref: 27-31pg

Do the results of the formula/platelets need further evaluation, or is the increase expected in this post-operative period?

Thank you, good luck with your work

Sent by Alis, më 15 February 2023 në 13:07

Hello Alis, normal platelet count

Replay from Dr. Shk. Sotiraq Lako, më 16 February 2023 në 05:02

Hello Dr,
I repeated the tests 3 weeks after a surgical intervention (subtotal gastrectomy), and the following values have increased compared to 2 weeks ago:

PLTs from 278 -> 338 Ref: 150-400
MPV from 7.4 -> 10.5 Ref: 7.2-11.1 fL

Other results above normal/on the limit:

Erythrocyte Sedimentation Rate 28 Ref: 1-15mm/h
PCT 0.36 Ref: 0.12-0.36
PDW 60.7 Ref: 25-65%
MCV 100.6 Ref: Ref: 80-100fL
MCH 35.4 Ref: 27-31pg

Do the results of the blood formula/platelets need further evaluation, or is the increase expected in this post-operative period?

Thank you, good luck with your work

Sent by Alis, më 15 February 2023 në 13:08

Hello Alis, normal platelet count

Replay from Dr. Shk. Sotiraq Lako, më 16 February 2023 në 05:02

Hello Dr,
I repeated the analyses 3 weeks after a surgical intervention (subtotal gastrectomy) and the following values have increased compared to 2 weeks ago:

PLTs from 278 -> 338 Ref: 150-400
MPV from 7.4 -> 10.5 Ref: 7.2-11.1 fL

Other results above normal/on the limit:

Erythrocyte Sedimentation Rate 28 Ref: 1-15mm/h
PCT 0.36 Ref: 0.12-0.36
PDW 60.7 Ref: 25-65%
MCV 100.6 Ref: Ref: 80-100fL
MCH 35.4 Ref: 27-31pg

Do the results of the blood formula/platelets need further assessment or is the increase expected in this post-operative period?

Thank you, good luck with your work

Sent by Alis, më 15 February 2023 në 13:08

Hello Alis, normal platelet value

Replay from Dr. Shk. Sotiraq Lako, më 16 February 2023 në 05:02

Hello Dr,
I repeated the tests 3 weeks after a surgical intervention (subtotal gastrectomy) and the following values have increased compared to 2 weeks ago:

PLTs from 278 -> 338 Ref: 150-400
MPV from 7.4 -> 10.5 Ref: 7.2-11.1 fL

Other results above normal/on the limit:

ErythroSedimentation 28 Ref: 1-15mm/h
PCT 0.36 Ref: 0.12-0.36
PDW 60.7 Ref: 25-65%
MCV 100.6 Ref: Ref: 80-100fL
MCH 35.4 Ref: 27-31pg

Do the results of the formula/platelets need further assessment or is the increase expected in this post-operative period?

Thank you, good luck with your work

Sent by Alis, më 15 February 2023 në 13:46

Hello Alice, normal platelet count

Replay from Dr. Shk. Sotiraq Lako, më 16 February 2023 në 05:02

Hello Dr, I want to ask you about the complete blood test results which have these outcomes:
Neutrophils NEU% 74.8, 50 - 62%
Lymphocytes LYM% 16.2, 25 - 40%
MCH* 27.0, 28 - 34 pg
Platelets (PLT)* 461, 140 - 400 x103/uL
PCT 0.43, 0.17 - 0.35%
Erythrocyte Sedimentation Rate (ESR) 55 < 20

Sent by Florida, më 07 March 2023 në 03:38

Hello Florida, you have only an increase in erythrocyte sedimentation rate, an indicator of inflammation. A slight increase in platelets, which can increase due to inflammation, or iron deficiency. You need to do ferritinemia and CRP

Replay from Dr. Shk. Sotiraq Lako, më 07 March 2023 në 04:23

Hello Dr, I want to ask you regarding the results of the complete blood count analysis which show these results:
Neutrophils NEU% 74.8, 50 - 62 %
Lymphocytes LYM% 16.2, 25 - 40 %
MCH* 27.0, 28 - 34 pg
Platelets (PLT)* 461, 140 - 400 x10^3/uL
PCT 0.43, 0.17 - 0.35 %
Erythrocyte Sedimentation Rate (ESR) 55 < 20

Sent by Florida, më 07 March 2023 në 03:38

Hello Florida, you only have an increase in erythrocyte sedimentation rate, an indicator of inflammation. Slight increase in platelets, which can increase from inflammation, or iron deficiency. You should get ferritin and CRP tests

Replay from Dr. Shk. Sotiraq Lako, më 07 March 2023 në 04:23

Hello Dr, I want to ask you about the results of the complete blood analysis which have these results:
Neutrophils NEU% 74.8, 50 - 62 %
Lymphocytes LYM% 16.2, 25 - 40 %
MCH* 27.0, 28 - 34 pg
Platelets (PLT)* 461 , 140 - 400 x10^3/uL
PCT 0.43, 0.17 - 0.35 %
Erythrocyte Sedimentation Rate (ESR) 55 < 20

Sent by Florida, më 07 March 2023 në 03:39

Hello Florida, you only have an increase in erythrocyte sedimentation rate, an indicator of inflammation. Slight increase in platelets, which can increase due to inflammation, or iron deficiency. You need to do ferritinemia and CRP

Replay from Dr. Shk. Sotiraq Lako, më 07 March 2023 në 04:23

Hello doctor, I wanted to ask you about some parameters that did not fall within the normal ranges for the complete blood analysis:

Monocytes MONO% 7.4 3 - 7 % > 18 year
Red Blood Cells (RBC)* 5.04 4 - 5 x10^/μL > 18 year
MCV* 82.5 84 - 96 fL > 18 year
MCH* 27.0 28 - 34 pg > 18 year
PCT 0.38 0.17 - 0.35 %
Urea* 14.9 mg/dL 16 - 38 mg/dL 18 - 49 year

Sent by Silva, më 07 March 2023 në 08:43

Greetings Silva, the values you have described are normal

Replay from Dr. Shk. Sotiraq Lako, më 08 March 2023 në 07:16

Hello doctor, I wanted to ask you about some parameters that did not fall within the normal range for the complete blood count analysis:

Monocytes MONO% 7.4 3 - 7 % > 18 year
Red Blood Cells (RBC)* 5.04 4 - 5 x10^12/L > 18 year
MCV* 82.5 84 - 96 fL > 18 year
MCH* 27.0 28 - 34 pg > 18 year
PCT 0.38 0.17 - 0.35 %
Urea* 14.9 mg/dL 16 - 38 mg/dL 18 - 49 year

Sent by Silva, më 07 March 2023 në 08:45

Greetings Silva, the values you have described are normal

Replay from Dr. Shk. Sotiraq Lako, më 08 March 2023 në 07:16

Hello doctor! Sorry to bother you. If you could please take a look at these test results. I'd like to know if these results are okay and what you would recommend. My mom is 68 years old. Hgb 13, WBC 8.67, RBC 4.26. RDWs 60.2 from a minimum of 35. Ferritin 12.23 from a minimum of 13. All her other values are normal. She feels weak. Please, what can be done? Thank you very much!

Sent by Lori , më 08 March 2023 në 10:10

Hello Lori, your mother has an iron deficiency and needs to be treated for it

Replay from Dr. Shk. Sotiraq Lako, më 09 March 2023 në 03:13

Hello doctor! Sorry for bothering you. If you could take a look at these tests for me. I wanted to know if these tests are okay and what you would suggest. My mother is 68 years old. Hgb 13, WBC 8.67, RBC 4.26. RDWs 60.2 from 35 which is the minimum. Ferritin 12.23 from 13 which is the minimum. All other values are normal. She feels weak. Please what can she do? Thank you very much!

Sent by Lori , më 08 March 2023 në 10:35

Hello Lori, your mother has an iron deficiency and needs to be treated for it

Replay from Dr. Shk. Sotiraq Lako, më 09 March 2023 në 03:13

Hello Doctor, thank you for being there for us when we need it. My 68-year-old mother has a D-dimer result of 2900. Meanwhile, she has no pathology, it is worth mentioning that she has a family history of thrombosis. (this is also the reason why she had the D-dimer test). Should she take blood thinner pills or injections? How should she proceed, thank you?

Sent by NILA, më 09 March 2023 në 04:24

Hello Nila, it is a value that we appreciate. Before we begin prophylaxis with blood thinners (anticoagulant), a series of factors are evaluated, a control with Eko doppler of the venous system of the lower limbs is conducted, if possible a chest scan, personal history, family history of thrombosis, spontaneous abortions, other diseases, weight, movements, etc. It is easy to start a thinner, it is harder to stop it

Replay from Dr. Shk. Sotiraq Lako, më 10 March 2023 në 06:38

Hello doctor, I have been having days where when I walk, I don't have good balance and a bit of a headache. I visited the optometrist and I was without any problems, and also did some blood tests, the results of which are: WBC 6.30, RBC 4.67, HCT 38.2, HGB 13.1, MCV 81.8, MCH 28.1, MCHC 34.3, PLT 218

Sent by Kele, më 09 March 2023 në 08:46

Hello Kele, your analysis is normal. It does not justify complaints

Replay from Dr. Shk. Sotiraq Lako, më 10 March 2023 në 06:38

Hello doctor! Thank you very much for the response, but can you prescribe an iron medication for my mother, what type and dosage?
Age 68 years, weight 80 kg.
Thank you very much!

Sent by Lori , më 09 March 2023 në 12:05

Hello Lori, I don't remember what we discussed. For correcting anemia and iron deficiency, we often use Heferol. For the dosage and duration, you will need to consult with your hematologist, your family doctor

Replay from Dr. Shk. Sotiraq Lako, më 10 March 2023 në 06:40

Hello doctor! Thank you very much for the response, but could you prescribe an iron medication, what type and the dosage for my mother.
Age 68, weight 80 kg.
Thank you very much!

Sent by Lori , më 09 March 2023 në 12:06

Hello Lori, I don't remember what we discussed. For the correction of anemia and iron deficiency, we often use Heferol. For the dosage and duration, you will need to see your hematologist, the family doctor

Replay from Dr. Shk. Sotiraq Lako, më 10 March 2023 në 06:40

Hello doctor, sorry to bother you, these are the values of the analysis of my 2-year-old son:
Ferritin 26.63
Hemoglobin 11.5
Erythrocytes 4.5
Hematocrit 34.1
Lymphocytes 49.9
Neutrophils 36.9
Platelets 253
MCV 76.4
MCH 25.9
MCHC 33.9
Iron-83.1
Urea 9.04
Creatinine 0.23
Direct Bilirubin 0.117
Indirect Bilirubin 0.28
Total Bilirubin 0.45
ALT-13.17
AST- 31.47
How do these values look to you, please?

Sent by Sidorela, më 16 March 2023 në 08:26

Hello Sidorela, normal value

Replay from Dr. Shk. Sotiraq Lako, më 17 March 2023 në 05:51

Hello Sidorela, normal values

Replay from Dr. Shk. Sotiraq Lako, më 17 March 2023 në 05:51

Hello doctor! Sorry for the disturbance. The results for my 2-year-old son came back with the following values:
Ferritin 36.63, Erythrocytes 4.5, Hemoglobin 11.5, Hematocrit 34.1, Neutrophils 36.3, Lymphocytes 49.9, Platelets 253, Erythrocyte sedimentation rate 3, MCV 76.4, MCH 25.9, MCHC 33.9, Iron 83.1, Direct bilirubin 0.17, Indirect bilirubin 0.28, Total bilirubin 0.45, Urea 9.04, Creatinine 0.23. How do these values look to you, please? Thank you!

Sent by Sidorela, më 16 March 2023 në 08:43

Hello Sidorela, normal values

Replay from Dr. Shk. Sotiraq Lako, më 17 March 2023 në 05:50

Hello doctor! Sorry for the disturbance. The analysis of my 2-year-old son showed these values:
Ferritin 36.63, Erythrocytes 4.5, Hemoglobin 11.5, Hematocrit 34.1, Neutrophils 36.3, Lymphocytes 49.9, Platelets 253, Erythrocyte Sedimentation Rate 3, MCV 76.4, MCH 25.9, MCHC 33.9, Iron 83.1, Direct Bilirubin 0.17, Indirect Bilirubin 0.28, Total Bilirubin 0.45, Urea 9.04, Creatinine 0.23. How do these values look to you, please? Thank you!

Sent by Sidorela, më 16 March 2023 në 08:43

Hello Sidorela, normal value

Replay from Dr. Shk. Sotiraq Lako, më 17 March 2023 në 05:50

Hello doctor!
My 69-year-old sister has had some analyses done. I am sending you the most important values.
HGb 13
WBC 8.67
RBC 4.26
RDWs 60.2 (this is higher than normal)
Ferritin 12.23
The doctor has prescribed her Heferol 350. Twice a day. For a month and a half. She weighs 81 kg.
I don't know if it's the right medication?
Thank you very much if you answer

Sent by Shqipe, më 18 March 2023 në 13:26

Hello Shqipe, yes the treatment is fine

Replay from Dr. Shk. Sotiraq Lako, më 20 March 2023 në 08:14

Hello, first of all, I would like to thank you for the work you do. I am 27 years old and my ALP level is 220 UI/L, and it says that up to 270 UI/L is normal. I wanted to ask you, is this normal or not?

Sent by Eva, më 19 March 2023 në 16:53

Hello Eva, it's normal

Replay from Dr. Shk. Sotiraq Lako, më 20 March 2023 në 08:17

Hello Dr. Sotiraq. I have done a complete blood test and the results are: PLT 115, Leukocytes 6.34, Erythrocytes 6, Hemoglobin 14.7, Hematocrit 44.3, MCV 71, MCH 23.6, MCHC 33.2, Platelets in Blood Smear: 248,000/mm3

Sent by Vladimir Shani, më 24 March 2023 në 17:41

Hello Vladimir, normal value

Replay from Dr. Shk. Sotiraq Lako, më 25 March 2023 në 03:56

Hello Dr. Sotiraq. I have done a complete blood test and the results are: PLT 115, Leukocytes 6.34, Erythrocytes 6, hemoglobin 14.7, Hematocrit 44.3, MCV 71, MCH 23.6, MCHC 33.2, Platelets in Blood Smear: 248,000/mm3. I would like to ask if I have a low platelet count?

Sent by Vladimir Shani, më 24 March 2023 në 18:02

Hello Vladimir, normal values

Replay from Dr. Shk. Sotiraq Lako, më 25 March 2023 në 03:56

Hello Dr. Sotiraq. I have completed the blood tests and the results are: PLT 115, Leukocytes 6.34, Erythrocytes 6, Hemoglobin 14.7, Hematocrit 44.3, MCV 71, MCH 23.6, MCHC 33.2, Platelets in blood smear: 248,000/mm3. I would like to ask if I have a low number of platelets?

Sent by Vladimir Shani, më 25 March 2023 në 07:47

Hello Vladimir, normal value

Replay from Dr. Shk. Sotiraq Lako, më 27 March 2023 në 08:04

Hello Dr. Sotiraq. I have completed a full blood test and the results were: PLT 115, Leukocytes 6.34, Erythrocytes 6, Hemoglobin 14.7, Hematocrit 44.3, Mcv 71, Mch 23.6, Mchc 33.2, Platelets in Blood Smear: 248,000/mm3. I would like to ask if I have a low number of platelets?

Sent by Vladimir Shani, më 25 March 2023 në 10:56

Hello Vladimir, normal values

Replay from Dr. Shk. Sotiraq Lako, më 27 March 2023 në 08:04

Hello Dr. Sotiraq. I have done a complete blood test and the results are: PLT 115, Leukocytes 6.34, Erythrocytes 6, Hemoglobin 14.7, Hematocrit 44.3, MCV 71, MCH 23.6, MCHC 33.2, Platelets in Smear: 248,000/mm3. I would like to ask if I have a low number of platelets?

Sent by Vladimir Shani, më 25 March 2023 në 12:25

Hello Vladimir, normal value

Replay from Dr. Shk. Sotiraq Lako, më 27 March 2023 në 08:05

Hello doctor. I have a 7-year-old boy. He has had a fever for about 6 days. I've done the blood tests and he has a low white blood cell count. WBC 2.75 NEU% 39.2 LYM% 46.2 MONO% 8.4 BASO% 0.0 EOS% 6.2 RBC 5.15 HCT 39.9 HG 13.4 MCV 17.5 RDW-SD 36.6 pct 0.15 ESR 2. PCR 0.29mg/L I'm worried about this decrease in white blood cells. How do these values look to you, please? Thank you

Sent by juli, më 25 March 2023 në 18:08

Hello Juli, there is a slight decrease in white blood cells, probably related to fatigue. The analysis will be repeated in 2-3 weeks

Replay from Dr. Shk. Sotiraq Lako, më 27 March 2023 në 08:05

Hello doctor, I wanted to ask, it has been two weeks since I had a neck ultrasound because I noticed glands on both sides of my neck; one was 14 mm and the other 17 mm. I visited a hematologist and was told to get a lung and abdomen x-ray. Everything came back fine, including all my blood tests, everything was good. They didn't prescribe any therapy, but last night, behind my ear, I felt pain and suddenly another gland appeared. I'm worried, doctor, because everything turned out fine, but it seems like they just keep appearing. I've had lymph nodes on my shoulders before, I've done all the necessary ultrasounds, and they turned out to be reactive. Now I'm very concerned about my neck, fearing something bad might happen after all these glands. Could you direct me on where to go? Thank you for your time

Sent by Genta, më 27 March 2023 në 16:52

Hello Genta, you can consult with an ENT doctor. If the lymph nodes are painful, they are probably reactive, infectious

Replay from Dr. Shk. Sotiraq Lako, më 28 March 2023 në 06:53

Hello doctor, I wanted to ask, it's been two weeks since I had a neck ultrasound because I noticed glands on both sides of my neck, one came out to be 14 mm and the other 17 mm. I went to the hematologist, and he told me to get a lung and abdomen X-ray. Everything came out fine, including all the blood tests I did, nothing was prescribed for therapy. But last night, behind my ear, I had pain and suddenly another gland appeared. I'm worried, doctor, because everything came out fine, but it seems like they just keep appearing. I've had lymph nodes in my shoulders before, I've done all the necessary ultrasounds, and they have come back as reactive. Now, with it happening on my neck, I'm very concerned that something bad might appear after all these glands. Could you guide me on where to go? Thank you for your time

Sent by Genta, më 28 March 2023 në 06:10

Hello Genta, you can consult with an ENT doctor. If the lymph glands are painful, they are probably reactive, infectious

Replay from Dr. Shk. Sotiraq Lako, më 28 March 2023 në 06:53

Hello Dr, I have done a neck radiology and it showed a lymph node of 2.5 cm but I must mention that the night before the scan I had a fever of 37.8+ and chills, did it affect the CT result? AND the other thing that worries me is that on the back of the neck on the left side a lump has appeared which I felt with my hand a week ago and it continues to be the same. Thank you very much and RESPECT FOR THE WORK YOU DO

Sent by Agim, më 02 April 2023 në 11:17

Hello Agim, if you have undergone radiological examination (Ultrasound, CT), they show not only the enlargement of the lymph glands, but also the evaluation if they are reactive, infectious, or pathological. Discussing lymph glands over email is not appropriate. It needs to be seen directly by a doctor

Replay from Dr. Shk. Sotiraq Lako, më 02 April 2023 në 13:13

Hello doctor. I am 62 years old and a blood test showed these values. WBC 16.08. RBC 5.27. HGB 13.9. HCT 42.4. MCV 80.5. MCH 26.4 MCHC 32.8. PLT 292. LYM% 58.4. MONO% 5.5. EO% 2.2. BASO% 0.3. NEUT% 33.6 Lym 9.39. MONO 0.88. EO 0.36. BASO 0.05 NEUT 5.4. RDW CW 13.3 PDW 9.1 MPV 9. PCT 0.26. LEUKOCYTE FORMULA rods 8% segmented 18%. Eosinophils 2% basophils 2% lymphocytes 62% monocytes 8% absolute lymphocytosis. I wanted to mention that for almost a month I have had a cold or virus and the cough has not yet gone away. Do you think these values are a consequence of the cold or does this virus not justify these values?

Sent by Ina , më 10 April 2023 në 04:24

Hello Ina, you have two changes which are the increase of leukocytes and lymphocytes. These are values that we pay attention to. You will be referred to a hematologist to repeat the analysis and if it persists, to complete with other necessary analyses and examinations for their evaluation

Replay from Dr. Shk. Sotiraq Lako, më 10 April 2023 në 04:31

Yes, I will repeat. Yes, I am waiting to fully get over this flu condition with fever and cough that I have. Therefore, I wanted an opinion if they are worrisome as much as you see because I am a bit stressed

Sent by Ina , më 10 April 2023 në 05:08

Hello Ina, these values do not raise concerns. Why they are such needs to be clarified

Replay from Dr. Shk. Sotiraq Lako, më 11 April 2023 në 03:40

I will repeat, I am waiting to completely get over this flu condition with fever and cough that I have. Therefore, I wanted an opinion if they are worrying as much as they seem because I am a bit stressed. And if this flu condition could have affected or is unrelated

Sent by Ina , më 10 April 2023 në 05:20

Hello Ina, these values do not raise concerns. Why they are such needs to be clarified

Replay from Dr. Shk. Sotiraq Lako, më 11 April 2023 në 03:40

Hello doctor. I have done the hemoglobin electrophoresis, and my values came out as HbA 95.1 Hb A2 4.9. What do you recommend? Thank you

Sent by Diana, më 11 April 2023 në 12:58

Hello Diana, you are a carrier of thalassemia. There is no recommendation for treatment. It is important for the offspring and this also depends on the spouse, whether or not they have similar mild diseases

Replay from Dr. Shk. Sotiraq Lako, më 11 April 2023 në 14:27

Hello, doctor, I am writing to you again after the question I sent you on April 10th. I repeated the blood tests. The values are again above the norm but lower than the first time. Specifically, WBC 12.68, Lym 59%, MID% 7.5%, GRA 33.5%, Lym 7.48, Mid 0.95, Gra 4.25, the others are normal. Can you tell me if they are problematic?

Sent by Ina, më 12 April 2023 në 10:13

Hello Ina, you need to see a hematologist

Replay from Dr. Shk. Sotiraq Lako, më 13 April 2023 në 02:52

Hello doctor, I am writing to you again after the question I sent you on April 10th. I have repeated the blood tests. The values are again above the norm but lower than the first time. Specifically, WBC 12.68, Lym 59%, MID% 7.5%, GRA 33.5%, Lym 7.48, Mid 0.95, Gra 4.25, the others are within the norm. Can you tell me if they are problematic?

Sent by Ina, më 12 April 2023 në 11:10

Hello Ina, you need to see a hematologist

Replay from Dr. Shk. Sotiraq Lako, më 13 April 2023 në 02:52

Hello doctor, I am writing to you again after the question I sent you on April 10th. I repeated the blood tests. The values are again above the normal range but lower than the first time. Specifically, WBC 12.68, Lym 59%, MID% 7.5%, GRA 33.5%, Lym 7.48, Mid 0.95, Gra 4.25, the others are normal. Can you tell me if they are problematic?

Sent by Ina, më 12 April 2023 në 13:06

Hello Ina, you need to present yourself to the hematologist

Replay from Dr. Shk. Sotiraq Lako, më 13 April 2023 në 02:52

Hello doctor, I am the girl who wrote almost 2 weeks ago saying that I have a problem with my lymph nodes. I had an ultrasound of my neck and they came back reactive. After that, I did all the blood tests and everything came back fine. I noticed a gland behind my ear, I still have it, while the doctor two days ago I had a fever when I woke up, I noticed a painful gland on my neck. I went to the family doctor, he prescribed antibiotics and touched it and said it's not a concern, but I have noticed another very small gland below the one at the back of my neck. Doctor, I am very worried, it hasn't been a month since all of this started happening, I don't know what to do, is it the immunity or what, I am a 27-year-old mother with a 1 and a half-year-old daughter, is all of this from fatigue or is there something hidden behind all these glands, sorry for the inconvenience, greetings from Prishtina

Sent by Genta, më 14 April 2023 në 08:32

Hello Genta, it's difficult to discuss lymph glands via email. You need to present yourself to a hematologist or an infectious disease specialist that you have nearby

Replay from Dr. Shk. Sotiraq Lako, më 15 April 2023 në 03:18

Hello. I had a question. In my blood test results, the RBC is 5.19, with the normal range for females being 4-5. The results were the same in tests from a year ago. Is this value a problem? Thank you

Sent by Miranda, më 17 April 2023 në 00:17

Hello Miranda, the normal value for females is 4,000,000 - 5,330,000 mm3. The value of hemoglobin is also important

Replay from Dr. Shk. Sotiraq Lako, më 17 April 2023 në 03:21

Hello Dr. Sotiraqi, I hope you are well. I need your help. I am a 60-year-old lady. I had a complete blood analysis done at the clinical laboratory a week ago. The parameters are: WBC 3.77 (4.00-10.00); NEU 1.4 (2.00-7.5.00); LYM 1.79(1.30-4.00); MON 0.38 (0.15-0.70); BAS 0.03(0.00-0.15); NEU% 37.1(40.0-75.0); LYM% 47.6(21.0-40.0); RBC 5.40 (4.00-5.50); RDWsd 38.2(46.0-59.0); RDWcv 16.4 (0.0-16.0). Doctor, this analysis was ordered by my rheumatologist because I am bothered by a pain at the bottom of my spine on the left side, and this pain radiates to the front below the rib cage and causes tightness in the bladder. I also had an abdominal ultrasound, which turned out fine. Please, could you provide an explanation from your side. I value and consider your response.
Thank you, best wishes. Respectfully, Ermira

Sent by Ermira, më 20 April 2023 në 02:29

Hello Ermira, you have a slight decrease in white blood cells and neutrophils. These are values that do not cause concern. To assess whether it is a temporary decrease or a consistent one, a repeat of the peripheral blood analysis is recommended after 2-3 weeks

Replay from Dr. Shk. Sotiraq Lako, më 20 April 2023 në 03:53

Hello doctor,
First of all, thank you for your time and advice.
My brother, who has CML that has progressed to AML, needs platelets because he has some bleeding. Where can this be done as urgently as possible?

Sent by Agimi, më 20 April 2023 në 12:20

Hello Agim, platelets are prepared only by the National Blood Transfusion Bank. Every hospital cooperates with this Bank. The supply of measures is done through planning, in collaboration with the doctor who is treating you, because they need to be prepared and must be kept in special devices for up to 5 days (they are not as stable as blood for up to 40 days)

Replay from Dr. Shk. Sotiraq Lako, më 21 April 2023 në 08:14

Hello doctor,
I have a 7-year-old son and I have done the following tests for him:
WBC (Leukocytes) 6.47,
RBC (Erythrocytes) 5.16, HGB (Hemoglobin) 13.8, HCT (Hematocrit) 40.9, mcv 79.2, mch 26.8, mchc 33.9, plt 349, lym% 52.4, mono% 7.54, eo% 4.01, baso% 2.75, neutro% 33.3, lym 3.39, mono 0.49, eo 0.26, baso 0.18, neutro 2.15, rdw-cv 12.36, rdw-sd 42.31, pdw 16.52, mpv 10.9, p-lcr 36.45. The red cells and hematocrit are high above the norm. Please, your comment. Thank you

Sent by Marjeta, më 29 April 2023 në 08:56

Hello Marjeta, it's a normal analysis

Replay from Dr. Shk. Sotiraq Lako, më 29 April 2023 në 10:53

Hello Doctor. I thank you for your time and the answers you give.
I have been confirmed with Thalassemia Minor through hemoglobin electrophoresis. My latest analyses have these values:
RED SERIES> RBC (Erythrocytes) 8.05, Hgb (Hemoglobin) 17.3, HCT (Hematocrit) 55.5%, MCV 69, MCH 21.5, MCHC 31.2, RDW 11%.
WHITE SERIES> WBC 5.8, NEUTROPHILS 81.5%, LYMPHOCYTES 9.8%, MONOCYTES 8.07%, EOSINOPHILS 0.3%, BASOPHILS 0.3%, (Absolute) neutro 4.7, lymph 0.6, mono 0.5, eos 0.0, baso 0.0
Platelets> PLTs 160, PDW 14, MPV 11.6
I kindly ask for your response
Thank you very much

Sent by Themi, më 02 May 2023 në 04:39

Hello Themi, what is your age? Based on the data, it can be suspected that besides Thalassemia Minor and Erythrocytosis/Polycythemia, which need to be clarified if they are present

Replay from Dr. Shk. Sotiraq Lako, më 02 May 2023 në 06:31

Hello Doctor. Thank you for your time and the answers you provide.
I have been confirmed with Thalassemia Minor through hemoglobin electrophoresis. My latest analyses have these values:
RED SERIES> RBC (Erythrocytes) 8.05, Hgb (Hemoglobin) 17.3, HCT (Hematocrit) 55.5%, MCV 69, MCH 21.5, MCHC 31.2, RDW 11%.
WHITE SERIES> WBC 5.8, NEUTROPHILS 81.5%, LYMPHOCYTES 9.8%, MONOCYTES 8.07%, EOSINOPHILS 0.3%, BASOPHILS 0.3%, (Absolute) neut 4.7, lymph 0.6, mono 0.5, eos 0.0, baso 0.0
Platelets> PLTs 160, PDW 14, MPV 11.6
Please, your answer
Thank you very much

Sent by Themi, më 02 May 2023 në 05:03

Hello Themi, from the data, it can be suspected besides Thalassemia Minor and Erythrocytosis/Polycythemia, which need to be clarified if they are. You will consult with the hematologist

Replay from Dr. Shk. Sotiraq Lako, më 02 May 2023 në 06:32

I wrote you the analysis data and wanted to add age 67 years,

Reticulocytes 12% (within normal range), Azotemia 57.1, Creatinine 2.03, ALT 22.9, AST 24.5, Total Bilirubin 1.01, Direct 0.26, triglycerides 113.7, LDL cholesterol 111.8, HDL cholesterol 44.8

Sent by Themi, më 02 May 2023 në 05:12

Hello Themi, from the data, there is suspicion of not only Thalassemia Minor but also Erythrocytosis/Polycythemia, which should be clarified if they are present. You will consult with a hematologist

Replay from Dr. Shk. Sotiraq Lako, më 02 May 2023 në 06:32

Hello Doctor,
I am 41 years old and have done the following analyses: WBC 5.73, NEU% 50.1, LYM% 36.3, MONO% 12.7, BASO% 0.2, EOS% 0.7, NEU# 2.87, LYM# 2.08, MONO# 0.73, BASO# 0.01, EOS# 0.04, RBC 4.06 HCT 37.3 HGB 12.2, MCV 91.9, MCH 30.0, MCHC 32.7, RDW-SD 38.3, RDW-CV 11.2, PLT 269, PDW 10.6, Average Platelet Volume 9.8, P-LCR 22.6, PCT 0.26, Erythrocyte Sedimentation Rate (ESR) 28. The percentage of monocytes and erythrocyte sedimentation are high. What do you suggest? Thank you for your dedication

Sent by Marjeta, më 03 May 2023 në 06:07

Hello Marjeta, there are reactive changes, probably from possible viral infections. Without any actual blood disease

Replay from Dr. Shk. Sotiraq Lako, më 03 May 2023 në 06:19

Hello Doctor,
I am 41 years old and have done the following tests: WBC 5.73, NEU% 50.1, LYM% 36.3, MONO% 12.7, BASO% 0.2, EOS% 0.7, NEU# 2.87, LYM# 2.08, MONO# 0.73, BASO# 0.01, EOS# 0.04, RBC 4.06 HCT 37.3 HGB 12.2, MCV 91.9, MCH 30.0, MCHC 32.7, RDW-SD 38.3, RDW-CV 11.2, PLT 269, PDW 10.6, Mean Platelet Volume 9.8, P-LCR 22.6, PCT 0.26, Erythrocyte Sedimentation Rate (ESR) 28. Monocytes in % and erythrocyte sedimentation are high. What do you suggest? Thank you for your dedication

Sent by Marjeta, më 03 May 2023 në 06:50

Hello Marjeta, there are reactive changes, probably from possible viral infections. Without any actual blood diseases

Replay from Dr. Shk. Sotiraq Lako, më 04 May 2023 në 05:56

Hello Doctor,
I am 41 years old and I have done the following tests: WBC 5.73, NEU% 50.1, LYM% 36.3, MONO% 12.7, BASO% 0.2, EOS% 0.7, NEU# 2.87, LYM# 2.08, MONO# 0.73, BASO# 0.01, EOS# 0.04, RBC 4.06 HCT 37.3 HGB 12.2, MCV 91.9, MCH 30.0, MCHC 32.7, RDW-SD 38.3, RDW-CV 11.2, PLT 269, PDW 10.6, Mean Platelet Volume 9.8, P-LCR 22.6, PCT 0.26, Erythrocyte Sedimentation Rate (ESR) 28. The percentage of monocytes and the erythrocyte sedimentation rate are high. What do you suggest? Thank you for your dedication

Sent by Marjeta, më 03 May 2023 në 08:48

Hello Marjeta, there are reactive changes, probably from possible viral infections. Without any actual blood disease

Replay from Dr. Shk. Sotiraq Lako, më 04 May 2023 në 05:56

Hello, I have done the analyses and they have turned out well but my LYM% has come out as 48% and ferritin 30 ng/mL. Are these values normal or not?

Sent by Eva, më 04 May 2023 në 06:30

Hello Eva, the value of Lymphocytes in % is 20-50% and in absolute value < 5,000 mm3. Ferritinemia for adult females is 20-60 ng/ml

Replay from Dr. Shk. Sotiraq Lako, më 05 May 2023 në 04:58

Thank you doctor for your answer. I am 27 years old, which means I am within the norms, am I okay? Do I not need any medication?

Sent by Eva, më 05 May 2023 në 08:08

Hello Eva, the values are normal

Replay from Dr. Shk. Sotiraq Lako, më 06 May 2023 në 10:41

Thank you very much for your excellent work, as you have always answered every question I have asked

Sent by Eva , më 07 May 2023 në 03:51

Hello Eva

Replay from Dr. Shk. Sotiraq Lako, më 10 May 2023 në 07:32

Thank you very much for your excellent work, as you have always answered every question I have asked you

Sent by Eva , më 07 May 2023 në 03:51

And I greet you, Eva

Replay from Dr. Shk. Sotiraq Lako, më 07 May 2023 në 04:12

Thank you very much for your excellent work, as you have always answered every question I have asked you

Sent by Eva , më 07 May 2023 në 04:41

And I greet you, Eva

Replay from Dr. Shk. Sotiraq Lako, më 08 May 2023 në 04:16

Hello Dr. Sotiraq Lako!
I hope you are doing well! I just want to thank you very much for your so humane, noble, and human work that you continue to do every day! After doing a check-up to see my health condition, a friend of mine who lives in Permet recommended me to read and visit your page so heavily loaded with our health problems, and here I am seeing and reading from the responses, the help, the patience, and the kindness that you convey to all of us, the respected and honored Dr. Sotiraq Lako! With much respect and love, I congratulate and thank you, Rita Londer! God Bless you and your family!

Sent by Rita Emmett , më 09 May 2023 në 14:19

Hello Rita

Replay from Dr. Shk. Sotiraq Lako, më 10 May 2023 në 07:30

Hello doctor!
I have done some tests on my son and these results came out as abnormal.
If you could take a look at them, I would be very grateful.
Complete blood count: Erythrocytes 6.52 from (4-6.5)
RDWcv 17.5 from (0-16)
The boy has minor congenital anemia

Triglycerides: 179.78 from (50-150)
Vitamin D: 17.28 seems to be low.

Please, what can you tell me.
Thank you!

Sent by Sandra, më 20 May 2023 në 05:19

Hello Sandra, the increased number of erythrocytes is associated with Thalassemia Minor. Regarding the decrease in Vitamin D, you will discuss with your son's doctor about treating it

Replay from Dr. Shk. Sotiraq Lako, më 22 May 2023 në 08:15

Good day, doctor!
My 20-year-old brother did some blood tests, and what came out differently was Triglycerides 170.78.
The other values are within the norm.
I don't know if there is any problem and if so, what can he do, please.
Regards!

Sent by Ana, më 23 May 2023 në 07:41

Hello Ana, it is somewhat grown, but their value also depends on the diet. The specialist doctor for this problem is the cardiologist, or the endocrinologist

Replay from Dr. Shk. Sotiraq Lako, më 24 May 2023 në 04:05

Hello Doctor, I hope you are well!
I have done some tests as follows:
WBC 4.36
RBC 3.9
HGB 9.5
HCT 31
MCH 24.4
MCHC 31
PLT 384
RDW -CV 17.1
RDW-SD 50.1
FERRITIN 6.21
HbA 97.8
HbA2 2.2
I hope you can tell me something. Thank you!

Sent by Anna Konomi, më 24 May 2023 në 01:46

Hello Anna, you have Mild Anemia from Iron Deficiency. You need to be treated according to the rules, by a hematologist doctor

Replay from Dr. Shk. Sotiraq Lako, më 24 May 2023 në 04:07

For the completion of the blood picture
MCV 79
LYM % 39.4
MXD% (MONO+EO+BZ) 11.8
NEUT% 48.8
LYM 1.72
MXD (MONO+EO+BZ) 0.51
NEUT 2.13
MPV 9
PDW 9.6
P-LCR 17.5
THANK YOU!

Sent by Anna Konomi, më 24 May 2023 në 04:27

Hello Anna, you have Mild Anemia from Iron Deficiency. You need to be treated according to the rules, by a hematologist

Replay from Dr. Shk. Sotiraq Lako, më 25 May 2023 në 09:30

For the completion of the blood picture:
MCV 79
LYM % 39.4
MXD% (MONO+EO+BZ) 11.8
NEUT% 48.8
LYM 1.72
MXD (MONO+EO+BZ) 0.51
NEUT 2.13
MPV 9
PDW 9.6
P-LCR 17.5
THANK YOU!

Sent by Anna Konomi, më 24 May 2023 në 04:28

Hello Anna, you have Mild Anemia due to Iron Deficiency. You need to be treated according to the rules, by a hematologist

Replay from Dr. Shk. Sotiraq Lako, më 25 May 2023 në 09:30

For the completion of the blood picture
MCV 79
LYM% 39.4
MXD% (MONO+EO+BZ) 11.8
NEUT% 48.8
LYM 1.72
MXD (MONO+EO+BZ) 0.51
NEUT 2.13
MPV 9
PDW 9.6
P-LCR 17.5
THANK YOU!

Sent by Anna Konomi, më 24 May 2023 në 04:28

Hello Anna, you have Mild Anemia from Iron Deficiency. You must be treated according to the rules, by a hematologist

Replay from Dr. Shk. Sotiraq Lako, më 25 May 2023 në 09:31

For completing the blood picture
MCV 79
LYM% 39.4
MXD% (MONO+EO+BASO) 11.8
NEUT% 48.8
LYM 1.72
MXD (MONO+EO+BASO) 0.51
NEUT 2.13
MPV 9
PDW 9.6
P-LCR 17.5
THANK YOU!

Sent by Anna Konomi, më 24 May 2023 në 04:34

Hello Anna, you have Mild Anemia from Iron Deficiency. You need to be treated according to the rules, by a hematologist doctor

Replay from Dr. Shk. Sotiraq Lako, më 25 May 2023 në 09:31

For the completion of the blood picture
MCV 79
LYM % 39.4
MXD% (MONO+EO+BZ) 11.8
NEUT% 48.8
LYM 1.72
MXD (MONO+EO+BZ) 0.51
NEUT 2.13
MPV 9
PDW 9.6
P-LCR 17.5
THANK YOU!

Sent by Anna Konomi, më 24 May 2023 në 04:36

Hello Anna, you have Mild Anemia due to Iron Deficiency. You need to be treated according to the rules, by a hematologist

Replay from Dr. Shk. Sotiraq Lako, më 25 May 2023 në 09:31

Hello Doctor! For several months, I've been feeling tired. I did some tests: MCV* 77.5, MCH* 23.7, and MCHC* 30.6. I want to point out that a year ago, when I was pregnant, I was diagnosed with iron deficiency for the first time and took supplemental iron during pregnancy. Currently, I am breastfeeding. Could you suggest which tests I should do to see if I have anemia and what type it might be?

Sent by Eni, më 24 May 2023 në 11:14

Hello Eni, you need to do a ferritinemia test. If it is < 20 ng/ml, you need to correct it with medications

Replay from Dr. Shk. Sotiraq Lako, më 25 May 2023 në 09:27

Doctor, Hello, I did a ferritin test and the value came out to 9.97. I am currently breastfeeding, does the medication affect the baby and what treatment do you recommend? Thank you

Sent by Eni, më 29 May 2023 në 04:21

Hello Eni. We are considered to have Iron Deficiency (the minimal normal value for adult females is 20 ng/ml and the optimal value is 60-70 ng/ml). What is the value of hemoglobin? You will discuss the treatment with the hematologist

Replay from Dr. Shk. Sotiraq Lako, më 29 May 2023 në 09:02

Hello doctor! I am 68 years old. I have done some tests, if you could tell me how they are, I would be grateful. I have suffered from megaloblastic anemia and have been treated, then from iron deficiency and have been treated with Heferol. Now I only take a B12 / twice a month on your advice. The latest tests I have done are: HGB 12.6 / RBC 4.27 / WBC 7.07 / RDWc 60.2 Erythrocyte sedimentation rate 30 Ferritin 52.3 The rest are normal. I feel tired, suffer from hypertension and take medication. For a couple of days now, I have been experiencing low blood pressure, headaches, weakness. Please, what can you tell me? Can I take more medication for anemia? Thank you very much!

Sent by Sabije Koka, më 04 June 2023 në 03:01

Hello Sabiha, you currently have normal values

Replay from Dr. Shk. Sotiraq Lako, më 04 June 2023 në 04:46

Hello from Prishtina, doctor, I've written to you before about having a problem with my lymph glands. They first appeared on my shoulder, I did an ultrasound and all were reactive. Then they appeared on my neck, I did an ultrasound, and again all were reactive. I've written to you because they keep appearing on my neck, they keep increasing. You told me to visit an infectious disease specialist or a hematologist. I visited the infectious disease specialist, he told me to do TORCH and blood tests, all were fine, but they still continue to appear on my neck. It seems I am filled with them. Please tell me what to do because I'm going crazy. I am 27 years old. Thanks for your time

Sent by Genta, më 06 June 2023 në 17:24

Hello Genta, if they tell you that they are reactive, it doesn't mean they are of bad nature

Replay from Dr. Shk. Sotiraq Lako, më 07 June 2023 në 03:00

Hello doctor, on the date 05/25/2023 I underwent a tonsillectomy. I have done a blood test and these are the results: bilirubin 0.68, SGPT 57, and SGOT 44. I have consumed a teaspoon of honey and a small pastry daily for only 4 days. I would like to know why my values are so high, do I need to do a test for hepatitis B?
Thank you

Sent by Skerdi, më 15 June 2023 në 08:00

Hello, they are normal

Replay from Dr. Shk. Sotiraq Lako, më 16 June 2023 në 03:25

Hello doctor! We have communicated before and thank you for answering my questions. My father has been suffering from myelodysplasia for 6 years now. Besides having mouth sores, he shows no other signs. I am sending you the lab results. WBC 2.17, LYM 56, RBC 3.27, HGB 11.7, HCT 33.6, PLT 252, MCH 35.7, MCHC 34.7, PCT 0.22, MONOCIDE % EOSINOPHILS% BASOPHILS% 19.8. I would like to know what can be used because as I see, he has anemia. I await your response. Thank you

Sent by Leda, më 26 June 2023 në 10:06

Hello, anemia is a manifestation of myelodysplasia. Ferritin, Vitamin B12, and Folic Acid levels are tested. If they are low, they should be treated

Replay from Dr. Shk. Sotiraq Lako, më 26 June 2023 në 10:31

Hello, doctor! My father suffers from Myelodysplasia and from the complete blood analysis, he came out anemic. You told me to do some tests and I am sending you the results.
FA - 19.5 ng/ml, Ferritin 196, V.B12 - 400 pg/ml. These last 2 days he has had a temperature up to 38. Please tell me what should I do?

Sent by Leda, më 02 July 2023 në 04:42

Hello Ledia, the analyses are normal, there is no need for iron treatment and Vitamin B12. For the temperature, discuss with your family doctor, your hematologist, it is not related to myelodysplasia

Replay from Dr. Shk. Sotiraq Lako, më 02 July 2023 në 04:46

Hello doctor! First of all, thank you for the answers you give us. I have done some blood tests and I would kindly ask you to look at them:
WBC 5,75
RBC 5,48
Hb 11,2
HCT 36,2
MCV 66,1
MCH 20,4
MCHC 30,9
Platelets 319
The blood values are somewhat low. Please, if you could, give me a diagnosis. What kind of anemia might it be? Thank you in advance!

Sent by Etleva, më 03 July 2023 në 14:53

Hello Etleva, you will do ferritinemia and hemoglobin electrophoresis

Replay from Dr. Shk. Sotiraq Lako, më 04 July 2023 në 02:57

Hello Etleva, you will do ferritinemia and hemoglobin electrophoresis

Replay from Dr. Shk. Sotiraq Lako, më 04 July 2023 në 02:58

Hello doctor, it's Etleva again. I had my ferritin tested and it came out as 43. I also had the hemoglobin electrophoresis done and the result was suspicious for Thalassemia minor but it was not 100% certain. I don't remember the exact value. If I have Thalassemia minor, how can I help it since I know it cannot be cured. Thank you!

Sent by Etleva, më 05 July 2023 në 03:02

Hello Dr, it's Etleva again. I did the Ferritin test and it came out as 43. I also did the hemoglobin electrophoresis and the result was suggestive of Thalassemia minor but it wasn't 100% certain. I don't remember the exact value. If I have Thalassemia minor, how can I help it since I know it cannot be cured? Thank you!

Sent by Etleva, më 05 July 2023 në 03:27

Hello Etleva, if the ferritin level is normal, you are a carrier of Thalassemia. At the American Hospital, you can repeat the Protein Electrophoresis

Replay from Dr. Shk. Sotiraq Lako, më 05 July 2023 në 05:39

Hello doctor, how are you? Today I received my blood tests and I was a little worried because these values that I am sending you turned out to be higher than the reference. Erythrocytes 5.98 Hemoglobin 17 hematocrit 48.2 BASO% 1.1 and Neut % 63.3 also in the biochemical test HDL cholesterol 39.10 and LDL cholesterol 135.80 total bilirubin 1.01 and direct bilirubin 0.31 mg/dl Thank you very much if you can read them, good luck with your work!

Sent by Admirim, më 10 July 2023 në 07:55

Hello Admirim, after 2, 3 weeks, repeat the complete blood work

Replay from Dr. Shk. Sotiraq Lako, më 10 July 2023 në 08:02

Hello doctor. Two days ago, I experienced an episode of atrial fibrillation at 1:30 in the morning. I took 2 pills of propafenone at home, 1 hour apart, and after 3 hours my rhythm normalized. Is there a possibility of blood clotting during these 3 hours that I experienced, should tests be done?

Sent by Saimir, më 31 July 2023 në 05:53

Hello, you will discuss with the cardiologist

Replay from Dr. Shk. Sotiraq Lako, më 31 July 2023 në 07:00

Hello doctor! I am a 33-year-old girl, and I recently had some tests done because of some concerns I had, such as: dizziness, fatigue, pain in the back of the head which then ends up on the right side. According to the blood tests, cholesterol is 241, where the reference values are 0-200. Triglycerides 138, with reference values being 0-150. LDL 171, where the reference value is 0-129, HDL 55.5. Is it possible that these concerns are due to these test values?

Sent by Alda , më 02 Agust 2023 në 13:33

Hello Alda, these values do not cause concern. Why they are elevated will be discussed with the endocrinologist

Replay from Dr. Shk. Sotiraq Lako, më 06 Agust 2023 në 01:03

Hello doctor!
Two weeks ago, I had my blood tests done and the results were RBC 5.98 HGB 17.0 HCT 48.2 and Neut 63.3, while the rest of the results were within reference ranges. You advised me to repeat the tests after two weeks and today I have received these results;
RBC 5.74 HGB 17.3 HCT 47.8 MCV 83.3 MCV 83.3 MCHC 36.2 RDW-SD 36.4 Mono% 7.9 and mean platelet volume 8.7, all others within reference ranges.
I am 53 years old! I thank you very much for your answers!

Sent by Admirim, më 04 Agust 2023 në 11:09

Hello Admirim, there is a slight increase in the elements of the red series (RBC, Hb), values that do not cause concern. It is most likely not an actual blood disease, but an increase due to other causes. There is no treatment. Only check-ups every 1-2 months. In case of further increase, you will be referred to a hematologist

Replay from Dr. Shk. Sotiraq Lako, më 04 October 2023 në 02:24

Hello doctor!
Two weeks ago, I had a blood test and the results were RBC 5.98 HGB 17.0 HCT 48.2 and Neut 63.3, while the other results were within the reference ranges. You advised me to repeat the tests after two weeks, and today I received these results;
RBC 5.74 HGB 17.3 HCT 47.8 MCV 83.3 MCV 83.3 MCHC 36.2 RDW-SD 36.4 Mono% 7.9 and mean platelet volume 8.7, all others within the reference ranges.
I am 53 years old! Thank you very much for your answers!

Sent by Admirim, më 04 Agust 2023 në 13:28

Hello Admir, can you come again to discuss?

Replay from Dr. Shk. Sotiraq Lako, më 06 Agust 2023 në 01:04

Hello Doctor! I am 37 years old and have been diagnosed with Heterozygous Factor V Leiden. Last year, I had 2 spontaneous miscarriages, one in week 13 and the other in week 9.
What therapy should I start during pregnancy planning and during it? And during normal life conditions (not pregnancy), what medication should I use or how often should I have checks for thrombosis?
Thank you!

Sent by Elvira, më 10 Agust 2023 në 15:11

Hello Elvira, it is a complex problem, I cannot solve it via email

Replay from Dr. Shk. Sotiraq Lako, më 12 Agust 2023 në 12:08

Hello!
I am a 16-year-old girl and from the tests, my iron level came out to be 8.24. What can I do in this case, can you suggest any medication?
Thank you in advance for your response!

Sent by Katerina Dedej, më 14 Agust 2023 në 03:53

Hello Katerina, if the value is ferritinemia, it is low and you will be treated. The preparation I most commonly use is Heferol 350 mg twice a day, for at least 2 months in a row

Replay from Dr. Shk. Sotiraq Lako, më 15 Agust 2023 në 01:36

Hello!
Please, could you interpret the blood test values for a child (female, 5 years old)
MCV 77.8 [fl] .... (80-100)
MCH 24.6 [pg] .....(26.0-34.0)
PLT 465 +[10^3/ul].....(150-400)
RDW-SD 34.3 -[fl]....{37.0-54.0)
PDW 8.7 -[fl] ....(10-18)
P-LCR 12.6- [%]....(13.0-43.0)
LYMPH 62.1% ....(20.0-50.0)
Platelets in smear 465,000
Segmented neutrophils 30%
Eosinophils 1%
Monocytes 6%
Lymphocytes 63%
The tests were conducted 3 days after antibiotics because she had a high fever up to 40 without any clear reason, and the treatment was given for cold symptoms. She frequently gets fever almost every 2 months and it's very resistant.
Thank you if you find the time :)

Sent by ledjana, më 15 Agust 2023 në 12:50

Hello Ledjana, to interpret MCV and MCH, the values of RBC and Hemoglobin are needed. The others are normal for the age

Replay from Dr. Shk. Sotiraq Lako, më 19 Agust 2023 në 03:15

Hello Dr. Sotiraq!

In the blood formula, in a routine check (60 years old), some values have come out below/above the norm. Is any of them/the combination worrisome and in your opinion, when should they be repeated?

Neutrophils NEU. %47.1 Reference (50 - 62%)
Lymphocytes LYM %42.2 Reference (25 - 40)
MONO %8.5 Reference (3 - 7%)
PDW 8.5 Reference (9 - 17fL)
Mean Platelet Volume 8.7 Reference (9 - 13 fL)

Thank you!

Sent by Alisa, më 16 Agust 2023 në 08:29

Hello Alisa, these are normal values

Replay from Dr. Shk. Sotiraq Lako, më 19 Agust 2023 në 03:14

Hello doctor! Please, can you interpret the blood test values for a child (female, 5 years old)?
RBC 4.63 [10^6 uL].....[4.00-5.00]
HGB 11.4 [g/dL].....[11.0-14.0]
MCV 77.8 [fl]....(80-100)
MCH 24.6 [pg].....(26.0-34.0)
PLT 465 +[10^3/ul].....(150-400)
RDW-SD 34.3 -[fl]....{37.0-54.0)
PDW 8.7 -[fl]....(10-18)
P-LCR 12.6- [%]....(13.0-43.0)
LYMPH 62.1%....(20.0-50.0)
Platelets on slide 465,000 segment 30% eosinophils 1% monocytes 6% lymphocytes 63% The tests were conducted 3 days after antibiotics because she had been experiencing high fever up to 40 without two lines, and the medication was taken for cold symptoms. She frequently gets fever almost every 2 months and it's very resistant. Thank you once again

Sent by ledjana, më 26 Agust 2023 në 00:47

Hello Ledjana, normal analysis for the age

Replay from Dr. Shk. Sotiraq Lako, më 26 Agust 2023 në 12:16

Hello, for 1 week I have been suffering from stomach reflux, where I also visited the doctor and resulted in no major problem. I have taken some medications which I have also consumed. The problem is that within a month I have had a drastic weight loss of 11 kg. I consume food in a normal way, but after eating, after about 3 hours, my stomach starts to get irritated and it feels like it's empty. Despite eating more than 3 times, I still do not gain weight

Sent by Kele , më 30 Agust 2023 në 15:18

Hello, you will have this discussion with the stomach doctor

Replay from Dr. Shk. Sotiraq Lako, më 31 Agust 2023 në 02:22

Hello doctor! I have a 30-year-old daughter with disabilities. From the blood tests, the ferritin came out to 7.1, HGB 10.0, HCT 33.1. The family doctor gave her Medifer B12 plus, 2x1 per day. Reading your explanations, it seems to me like an insufficient dose. What do you think, is this medication appropriate despite being very expensive? Thank you!

Sent by Rozeta Tiko, më 01 September 2023 në 02:44

Hello Rozeta, Ironorm 3 times a day, during or after meals. Recheck after 1 month of treatment with complete blood count and after 3 months of treatment with complete blood count and ferritinemia

Replay from Dr. Shk. Sotiraq Lako, më 01 September 2023 në 09:19

Hello. A 3-year-old girl has these results: WBC 15.61, NEU% 45.6, LYM% 42.5, MONO% 8.6, BASO% 0.4, RBC 4.91, HEMATOCRIT 36.1, HGB 11.9, PLT 489, PDW 8.5, MEAN PLATELET VOLUME 8.4, P-LCR 12.2, PCT 0.41, ESR 15, FERRITIN 22.73. VIT D3 29.8. The girl has had flu-like symptoms, cough with secretions, etc., for a few days. Because I am concerned about the Neutrophils, Lymphocytes, Monocytes, and PLT since some are elevated, some are decreased, while the other values are within normal ranges, so I didn't note them. Are these normal or is there a problem?

Sent by Ana, më 02 September 2023 në 10:06

Hello Ana, normal analysis for the age and condition you are going through

Replay from Dr. Shk. Sotiraq Lako, më 02 September 2023 në 14:32

Hello doctor, I am 32 years old. I have done my blood tests these days and the results are as below: Leukocytes 8.41 10³/µL 4 - 11
Neutrophils 5.84 10³/µL 1.8 - 7.7
Lymphocytes 1.68 10³/µL 1 - 4.8
Monocytes 0.63 10³/µL 0.1 - 0.9
Eosinophils 0.19 10³/µL < 0.5
Basophils 0.06 10³/µL < 0.2
Neutrophils 69.5 % 35 - 77
Lymphocytes 20.0 % 20 - 44
Monocytes 7.5 % 3 - 10
Eosinophils 2.3 % < 5
Basophils 0.7 % < 1.5
Red blood cells 4.80 10⁶/µl 3.8 - 5.1
Hemoglobin 11.1 g/dl - Low 11.7 - 15.5
Hematocrit 36.4 % 35 - 45
MCV 75.9 fl - Low 81 - 100
MCH 23.2 pg - Low 26 - 34
MCHC 30.6 g/dl - Low 32 - 37
RDWsd 35 fL 35 - 46.3
RDWcv 14.8 % 11.5 - 16
Platelets 275 10³/µL 150 - 450
PCT 0.20 % 0.1 - 0.5
MPV 7.4 fL 6.5 - 10
PDWsd 17 fl -
PDWcv 40 % 10 - 40
PLCR 29 % 13 - 43
PLCC 80 10³/µL -
Erythrocyte sedimentation rate 40 mm/h - High < 20

Also Ferritin
Method: ECLIA
6.6 ng/ml - Low 13 - 150

What should I do in this case? Should I take medication for iron or can I get it through food? Thanks

Sent by Greisa Cino, më 05 September 2023 në 10:49

Hello Greisa, you have mild Anemia due to iron deficiency. You will be treated with iron supplements. The treatment continues for at least 3 months straight, and a recheck is done after 1 month with complete blood work and after 3 months of treatment with complete blood work and ferritinemia

Replay from Dr. Shk. Sotiraq Lako, më 06 September 2023 në 05:57

Hello doctor, I am 32 years old. I have done the tests these days and the results are as follows:

Leukocytes 8.41 10³/µL 4 - 11
Neutrophils 5.84 10³/µL 1.8 - 7.7
Lymphocytes 1.68 10³/µL 1 - 4.8
Monocytes 0.63 10³/µL 0.1 - 0.9
Eosinophils 0.19 10³/µL < 0.5
Basophils 0.06 10³/µL < 0.2
Neutrophils 69.5 % 35 - 77
Lymphocytes 20.0 % 20 - 44
Monocytes 7.5 % 3 - 10
Eosinophils 2.3 % < 5
Basophils 0.7 % < 1.5
Red blood cells 4.80 10⁶/µl 3.8 - 5.1
Hemoglobin 11.1 g/dl Low 11.7 - 15.5
Hematocrit 36.4 % 35 - 45
MCV 75.9 fl Low 81 - 100
MCH 23.2 pg Low 26 - 34
MCHC 30.6 g/dl Low 32 - 37
RDWsd 35 fL 35 - 46.3
RDWcv 14.8 % 11.5 - 16
Platelets 275 10³/µL 150 - 450
PCT 0.20 % 0.1 - 0.5
MPV 7.4 fL 6.5 - 10
PDWsd 17 fl -
PDWcv 40 % 10 - 40
PLCR 29 % 13 - 43
PLCC 80 10³/µL -
Erythrocyte sedimentation rate 40 mm/h High < 20

Also Ferritin
Method: ECLIA
6.6 ng/ml Low 13 - 150

What should I do in this case? Should I take iron medication or can I get it through food? Thank you

Sent by Greisa Cino, më 05 September 2023 në 15:29

Hello Greisa, you have mild Anemia due to iron deficiency. You will be treated with iron supplements. The treatment continues for at least 3 months in a row and a recheck is done after 1 month with complete blood and after 3 months of treatment with complete blood and ferritinemia

Replay from Dr. Shk. Sotiraq Lako, më 06 September 2023 në 05:57

Hello doctor! If you could, since I did the tests, a comment. I am 55 years old. The results are!
WBC 7.50%, NEU 36.4%, LYM 52.1% MONO 8.8, RBC 5.26%, HCT 43.7%, HGB 14.9%, MCV 83.1%, ESR 21, FERRITIN 152.0. Thanking you and wishing you good work

Sent by Anila, më 06 September 2023 në 08:06

Hello Anila, you have a slight decrease in neutrophils. The analysis is repeated after 2, 3 weeks

Replay from Dr. Shk. Sotiraq Lako, më 06 September 2023 në 10:32

Hello doctor! If you can, since I did the tests, a comment. I am 55 years old. The results are!
WBC 7.50%, NEU 36.4%, LYM 52.1% MONO 8.8, RBC 5.26%, HCT 43.7%, HGB 14.9%, MCV 83.1%, ESR 21, FERRITIN 152.0. Thanking you and wishing you good work

Sent by Anila, më 06 September 2023 në 08:06

Hello Anila, you have a slight decrease in neutrophils. The analysis is repeated after 2, 3 weeks

Replay from Dr. Shk. Sotiraq Lako, më 06 September 2023 në 10:33

Hello doctor! If possible, since I have done the tests, a comment. I am 55 years old. Here are the results!
WBC 7.50%, NEU 36.4%, LYM 52.1% MONO 8.8, RBC 5.26%, HCT 43.7%, HGB 14.9%, MCV 83.1%, ESR 21, FERRITIN 152.0. Thank you and good work

Sent by Anila, më 06 September 2023 në 08:07

Hello Anila, you have a slight decrease in neutrophils. The analysis is repeated after 2, 3 weeks

Replay from Dr. Shk. Sotiraq Lako, më 06 September 2023 në 10:34

Thank you, doctor, for the response. What treatment should I take and where can I make a visit?

Sent by Greisa Cino, më 06 September 2023 në 08:39

For treatment, you need to speak with a hematologist, it's personal, for every patient

Replay from Dr. Shk. Sotiraq Lako, më 06 September 2023 në 10:35

I wish for a visit with you, doctor. Can we contact you with the number you have here?

Sent by greisa cino, më 07 September 2023 në 13:35

Hello, yes

Replay from Dr. Shk. Sotiraq Lako, më 08 September 2023 në 07:26

Iron serum 11.84 continuation of the first message. Analysis of the grandson 2 and a half years old

Sent by Miranda, më 23 September 2023 në 10:53

Hello Miranda, you will discuss with the pediatrician about treatment with iron supplements. Ferritinemia above 15, 20 for the age

Replay from Dr. Shk. Sotiraq Lako, më 24 September 2023 në 02:09

Hello Doctor, I had a check-up at the local state clinics and my results came back different from the references: hgb 10.5 hct 33.6 mch 25.5 eo% 13, baso 1.1 rdw-cv 14.9 and pdw 19.9, The other values are within norms, Awaiting a response from you, I'm concerned about PDW, as it is quite high above the norms

Sent by Orsjola, më 25 September 2023 në 02:10

Hello Orsjola, you have mild anemia, since you don't write the number of erythrocytes it must be normal. In such cases, anemia from iron deficiency is suspected and ferritinemia is performed. You also have an increase in eosinophils, which often occurs due to allergies and parasites

Replay from Dr. Shk. Sotiraq Lako, më 25 September 2023 në 09:54

Hello Doctor, I have done a check-up at the local state clinics and these results came back different from the references: hgb 10.5 hct 33.6 mch 25.5 eo% 13, baso 1.1 rdw-cv 14.9 and pdw 19.9, The other values are within the norms. Waiting for a response from you, I am concerned about the PDW, as it is quite high from the norms

Sent by Orsjola, më 25 September 2023 në 02:47

Hello Orsjola, you have mild anemia, as long as you don't write the number of erythrocytes it must be normal. In such cases, anemia due to iron deficiency is suspected and ferritinemia is performed. You also have increased eosinophils, which often occur due to allergies and parasites

Replay from Dr. Shk. Sotiraq Lako, më 25 September 2023 në 09:55

Hello Orsjola, you have mild anemia, since you don't write the number of erythrocytes it must be normal. In such cases, anemia from iron deficiency is suspected and ferritinemia is done. You also have an increase in eosinophils, which happens often from allergies and parasites

Replay from Dr. Shk. Sotiraq Lako, më 25 September 2023 në 09:55

Age 42 years old

Sent by Orsjola, më 25 September 2023 në 07:07

Hello Orsjola, you have mild anemia, as long as you don't write the number of erythrocytes it must be normal. In such cases, anemia due to iron deficiency is suspected and ferritinemia is performed. You also have elevated eosinophils, which happens often from allergies and parasites

Replay from Dr. Shk. Sotiraq Lako, më 25 September 2023 në 09:55

Hello doctor, Thank you for the response. RBCs are normal at 4.12, I am allergic and had information about eosinophils. What worried me was the PDW 19.9 (but from the message, I understand that they are not a problem).
If you could, a suggestion for treatment,
Thank you in advance

Sent by Orsjola, më 26 September 2023 në 01:53

Continue as I have written to you

Replay from Dr. Shk. Sotiraq Lako, më 26 September 2023 në 06:23

Hello doctor, how are you? I wanted to ask you about my mom, her ferritin level is high at 250. What could you suggest for me to follow to lower it or the reason for the high ferritin?

Sent by Denisa, më 26 September 2023 në 09:03

Hello Denisa, as you have read, we call it hyperferritinemia when ferritinemia > 500 ng/ml, so the current value of the mother does not classify as hyperferritinemia. We do not use medication for Ferritinemia < 1,000 ng/ml

Replay from Dr. Shk. Sotiraq Lako, më 27 September 2023 në 03:48

Hello doctor, how are you? I wanted to ask you about my mom, her ferritin level is high at 250. What could you suggest for me to follow to lower it or the cause of her high ferritin?

Sent by Denisa, më 26 September 2023 në 12:50

Hello Denisa, as you have read, we call it hyperferritinemia when ferritinemia > 500 ng/ml, so the current value of your mother does not classify as hyperferritinemia. There is no treatment for Ferritinemia < 1,000 ng/ml

Replay from Dr. Shk. Sotiraq Lako, më 27 September 2023 në 03:48

Hello Doctor. My nephew has done the blood tests. Result: WBC 11.87, NEU 67.6, LYM 22.7, MONO 8.1, BASO 0.2, NEU 8.02, MONO 0.96, RDW-SD 36.8, PDW 8.2, Platelet volume 8.7, P LCR 12.8, Erythrocyte sedimentation rate 21, Ferritin 11.84 from 6-67

Sent by Miranda, më 26 September 2023 në 23:41

Hello Miranda, only ferritinemia has room for improvement (> 15 ng/ml). The others are normal

Replay from Dr. Shk. Sotiraq Lako, më 27 September 2023 në 03:49

Hello. I am not a patient, I wanted to learn about the doctor's CV, so I visited the website. Curiosity drove me to follow his activity. I read all the questions that patients directed to the doctor, respectively the answers that the doctor gave to the patients with patience and precision, as well as the advice and instructions to obtain as accurate data as possible, for a perfect diagnosis. Honestly, the healing of the body according to Ibn Sina (Avicenna) begins with the healing of the soul, the doctor has both aspects of the medal - behavior, patience, ability, and a soul to heal. I wish him success and a long life

Sent by Alma Runga, më 03 October 2023 në 07:52

Thank you, Alma. And I greet you and wish you all the best

Replay from Dr. Shk. Sotiraq Lako, më 04 October 2023 në 02:21

Hello doctor,
I wanted to ask you about a confusion we have. My mother suffers from myelofibrosis and portal vein thrombosis was being treated with Coumadin 5 mg and hydroxyurea 500 mg, now she has to take Ruxolitinib 20 mg. The confusion lies in whether both Coumadin and hydroxyurea will not be taken anymore or just hydroxyurea is stopped and Coumadin is continued as usual with Ruxolitinib?

Sent by Bora, më 06 October 2023 në 01:25

Hello Bora, Hydroxyurea is discontinued

Replay from Dr. Shk. Sotiraq Lako, më 06 October 2023 në 09:34

Hello! My mom is 55 years old, and the results of the biochemical analysis are as follows: Glucose 88.
Urea 36.0, Creatinine 0.74, Uric Acid 3.20, SGPT ALT 16.1, SGOT AST 22.4, Total Bilirubin 0.48, HDL Cholesterol 79.7, LDL Cholesterol 147.0, Total Cholesterol 244.0, VLDL 16.20, Triglycerides 81.0, Total Chol Ratio 3.06, Calcium 9.17

Sent by Kristiana Qirko, më 06 October 2023 në 10:57

Hello Kristiana, normal values

Replay from Dr. Shk. Sotiraq Lako, më 06 October 2023 në 14:12

Hello! My mom is 55 years old, and the results of the biochemical analysis are as follows: Glucose 88.
Urea 36.0, Creatinine 0.74, Uric acid 3.20, SGPT ALT 16.1, SGOT AST 22.4, Total Bilirubin 0.48, HDL Cholesterol 79.7, LDL Cholesterol 147.0, Total Cholesterol 244.0, VLDL 16.20, Triglycerides 81.0, Total Chol/HDL Ratio 3.06, Calcium 9.17

Sent by Kristiana Qirko, më 06 October 2023 në 10:58

Hello Kristiana, normal value

Replay from Dr. Shk. Sotiraq Lako, më 06 October 2023 në 14:13

Hello doctor,
I have a 16-year-old daughter and from the routine tests that were done, her ferritin came back at a low value of 11.0 ng/ml. The girl feels tired and sleeps a lot during the day. Please, what do you recommend?

Sent by Bruna, më 06 October 2023 në 13:35

Hello Bruna, the girl is classified with iron deficiency, which can justify the complaints. She will be treated with iron preparations by a hematologist, for at least 2 months in a row

Replay from Dr. Shk. Sotiraq Lako, më 06 October 2023 në 14:16

Hello doctor,
I have a 16-year-old daughter, and from the routine tests we did, her ferritin came out at a low value of 11.0 ng/ml. The girl feels tired and sleeps a lot during the day. Please, what do you recommend?

Sent by Bruna, më 06 October 2023 në 13:45

Hello Bruna, the girl is diagnosed with an iron deficiency, which may justify the complaints. She will be treated with iron supplements, by a hematologist, for at least 2 consecutive months

Replay from Dr. Shk. Sotiraq Lako, më 06 October 2023 në 14:15

Hello doctor,
I am 42 years old and I have done the following tests:
WBC 8.81, RBC 4, HGB 12.5, HCT 37.1, MCV 92.8, MCH 31.3, MCHC 33.7, PLT 271, LYM% 31.6, MONO% 7.84, EO% 4.59, BASO% 1, Neut% 55, Lym 2.78, MONO 0.69, EO 0.41, BASO 0.09, Neut 4.85, RDW-CV 13, RDW-SD 37, PDW 14, MPV 8.7, P-LCR 24, ferritin 47.35, 25-hydroxy Vit D 61.5, TSH 3.24, FT3 2.62, FT4 0.96. I am experiencing a lot of hair loss. Is it related to anemia? Thank you

Sent by Marjeta, më 18 October 2023 në 05:35

Hello Marjeta, normal values and they are not related to hair loss. You will discuss with the dermatologist

Replay from Dr. Shk. Sotiraq Lako, më 18 October 2023 në 07:50

Hello doctor,
I am 42 years old and have conducted the following analyses:
WBC 8.81, RBC 4, HGB 12.5, HCT 37.1, MCV 92.8, MCH 31.3, MCHC 33.7, PLT 271, LYM% 31.6, MONO% 7.84, EO% 4.59, BASO% 1, Neut% 55, Lym 2.78, MONO 0.69, EO 0.41, BASO 0.09, Neut 4.85, RDW-CV 13, RDW-SD 37, PDW 14, MPV 8.7, P-LCR 24, ferritin 47.35, 25-hydroxy Vit D 61.5, TSH 3.24, FT3 2.62, FT4 0.96. I am experiencing significant hair loss. Is it related to anemia? Thank you

Sent by Marjeta, më 18 October 2023 në 06:00

Hello Marjeta, the values are normal and have no connection with hair loss. You will discuss with the dermatologist

Replay from Dr. Shk. Sotiraq Lako, më 18 October 2023 në 07:49

Hello doctor,
I am 42 years old and I have done the following tests:
WBC 8.81, RBC 4, HGB 12.5, HCT 37.1, MCV 92.8, MCH 31.3, MCHC 33.7, PLT 271, LYM% 31.6, MONO% 7.84, EO% 4.59, BASO% 1, Neut% 55, Lym 2.78, MONO 0.69, EO 0.41, BASO 0.09, Neut 4.85, RDW-CV 13, RDW-SD 37, PDW 14, MPV 8.7, P-LCR 24, ferritin 47.35, 25-hydroxy Vit D 61.5, TSH 3.24, FT3 2.62, FT4 0.96. I have a lot of hair loss. Is it related to anemia? Thank you

Sent by Marjeta, më 18 October 2023 në 06:05

Hello Marjeta, the values are normal and are not related to hair loss. You will discuss with the dermatologist

Replay from Dr. Shk. Sotiraq Lako, më 18 October 2023 në 07:50

Hello doctor,
I am 42 years old and have conducted the following tests:
WBC 8.81, RBC 4, HGB 12.5, HCT 37.1, MCV 92.8, MCH 31.3, MCHC 33.7, PLT 271, LYM% 31.6, MONO% 7.84, EO% 4.59, BASO% 1, Neut% 55, Lym 2.78, MONO 0.69, EO 0.41, BASO 0.09, Neut 4.85, RDW-CV 13, RDW-SD 37, PDW 14, MPV 8.7, P-LCR 24, ferritin 47.35, 25-hydroxy Vit D 61.5, TSH 3.24, FT3 2.62, FT4 0.96. I am experiencing a lot of hair loss. Is it related to anemia? Thank you

Sent by Marjeta, më 18 October 2023 në 06:20

Hello Marjeta, the values are normal and have nothing to do with hair loss. You will discuss with the dermatologist

Replay from Dr. Shk. Sotiraq Lako, më 18 October 2023 në 07:49

Hello doctor,
I am 42 years old and have done the following tests:
WBC 8.81, RBC 4, HGB 12.5, HCT 37.1, MCV 92.8, MCH 31.3, MCHC 33.7, PLT 271, LYM% 31.6, MONO% 7.84, EO% 4.59, BASO% 1, Neut% 55, Lym 2.78, MONO 0.69, EO 0.41, BASO 0.09, Neut 4.85, RDW-CV 13, RDW-SD 37, PDW 14, MPV 8.7, P-LCR 24, ferritin 47.35, 25-hydroxy Vit D 61.5, TSH 3.24, FT3 2.62, FT4 0.96. I am experiencing a lot of hair loss. Is it related to anemia? Thank you

Sent by Marjeta, më 18 October 2023 në 06:21

Hello Marjeta, normal values and they have no relation to hair loss. You will discuss with the dermatologist

Replay from Dr. Shk. Sotiraq Lako, më 18 October 2023 në 07:49

Hello doctor,
I am 42 years old and have done the following analysis:
WBC 8.81, RBC 4, HGB 12.5, HCT 37.1, MCV 92.8, MCH 31.3, MCHC 33.7, PLT 271, LYM% 31.6, MONO% 7.84, EO% 4.59, BASO% 1, Neut% 55, Lym 2.78, MONO 0.69, EO 0.41, BASO 0.09, Neut 4.85, RDW-CV 13, RDW-SD 37, PDW 14, MPV 8.7, P-LCR 24, ferritin 47.35, 25-hydroxy Vit D 61.5, TSH 3.24, FT3 2.62, FT4 0.96. I am experiencing a lot of hair loss. Is it related to anemia? Thank you

Sent by Marjeta, më 18 October 2023 në 06:30

Hello Marjeta, the values are normal and have no connection to hair loss. You will discuss with the dermatologist

Replay from Dr. Shk. Sotiraq Lako, më 18 October 2023 në 07:49

Hello doctor,
I am 42 years old and have done the following tests:
WBC 8.81, RBC 4, HGB 12.5, HCT 37.1, MCV 92.8, MCH 31.3, MCHC 33.7, PLT 271, LYM% 31.6, MONO% 7.84, EO% 4.59, BASO% 1, Neut% 55, Lym 2.78, MONO 0.69, EO 0.41, BASO 0.09, Neut 4.85, RDW-CV 13, RDW-SD 37, PDW 14, MPV 8.7, P-LCR 24, ferritin 47.35, 25-hydroxy Vit D 61.5, TSH 3.24, FT3 2.62, FT4 0.96. I am experiencing a lot of hair loss. Is it related to anemia? Thank you

Sent by Marjeta, më 18 October 2023 në 06:34

Hello Marjeta, the values are normal and are not related to hair loss. You will discuss with the dermatologist

Replay from Dr. Shk. Sotiraq Lako, më 18 October 2023 në 07:49

Hello doctor,
I am 42 years old and have done the following tests:
WBC 8.81, RBC 4, HGB 12.5, HCT 37.1, MCV 92.8, MCH 31.3, MCHC 33.7, PLT 271, LYM% 31.6, MONO% 7.84, EO% 4.59, BASO% 1, Neut% 55, Lym 2.78, MONO 0.69, EO 0.41, BASO 0.09, Neut 4.85, RDW-CV 13, RDW-SD 37, PDW 14, MPV 8.7, P-LCR 24, ferritin 47.35, 25-hydroxy Vit D 61.5, TSH 3.24, FT3 2.62, FT4 0.96. I have a lot of hair loss. Is it related to anemia? Thank you

Sent by Marjeta, më 18 October 2023 në 07:28

Hello Marjeta, the values are normal and are not related to hair loss. You will discuss with the dermatologist

Replay from Dr. Shk. Sotiraq Lako, më 18 October 2023 në 07:48

Hello doctor,
I am 42 years old and have done the following tests:
WBC 8.81, RBC 4, HGB 12.5, HCT 37.1, MCV 92.8, MCH 31.3, MCHC 33.7, PLT 271, LYM% 31.6, MONO% 7.84, EO% 4.59, BASO% 1, Neut% 55, Lym 2.78, MONO 0.69, EO 0.41, BASO 0.09, Neut 4.85, RDW-CV 13, RDW-SD 37, PDW 14, MPV 8.7, P-LCR 24, ferritin 47.35, 25-hydroxy Vit D 61.5, TSH 3.24, FT3 2.62, FT4 0.96. I am experiencing a lot of hair loss. Is it related to anemia? Thank you

Sent by Marjeta, më 18 October 2023 në 08:55

Hello Marjeta, the values are normal and are not related to hair loss. You will discuss with the dermatologist

Replay from Dr. Shk. Sotiraq Lako, më 19 October 2023 në 09:17

Hello Dr. Sotiraq Lako, we thank you very much for giving us an answer!
I am 44 years old and for more than a year, my red and white blood cell counts have been high. The last results were RBC 5.70, HGB 17.7, HCT 51.1, MCV 89.7, RDW 13.0%, WBC 11.9, Neutrophils (abs) 6.1, Lymphocytes (abs) 4.4, Monocytes (abs) 1.1, Basophils (abs) 0.1K/ul, Neut 51%, Lympho 37.0%, Monocit 9.61%, Baso 0.5%, PLT 213K/ul, PDW 13.6fl, MPV 11.4fl. I have done EPO 6.6 and Jak2-.p.V617F came out negative. Now they have told me to do CALR - MPL. What could the diagnosis be? Because I suffer from anxiety and reading on the internet has made me very worried. Thank you and good luck with your work

Sent by Azir, më 19 October 2023 në 16:22

Hello Azir, it's possible that stress might also be a cause for the increase in blood cells. The referred tests, it's good to have them done

Replay from Dr. Shk. Sotiraq Lako, më 24 October 2023 në 04:26

Hello doctor, could you please explain to me the blood tests that I have done because I am concerned about the low values of erythrocytes and hemoglobin and the high values of MCH and MCV.

COMPLETE BLOOD COUNT
Method: F.CYT.
Leukocytes 4.30 10³/µL 4 - 11
Neutrophils 2.20 10³/µL 1.8 - 7.7
Lymphocytes 1.90 10³/µL 1 - 4.8
Monocytes 0.20 10³/µL 0.1 - 0.9
Eosinophils 0.10 10³/µL < 0.5
Basophils 0.00 10³/µL < 0.2
Neutrophils 49.5 % 35 - 77
Lymphocytes 43.8 % 20 - 44
Monocytes 3.6 % 3 - 10
Eosinophils 2.9 % < 5
Basophils 0.2 % < 1.5
Erythrocytes 2.17 10^6/µl Low 3.8 - 5.8
Hemoglobin 9.6 g/dl Low 12.6 - 17.4
Hematocrit 26.9 % Low 37 - 51
MCV 124.2 fl High 80 - 100
MCH 44.1 pg High 26 - 34
MCHC 35.5 g/dl 31 - 36
RDWsd 66 fL High 35 - 46.3
RDWcv 14.5 % 11.5 - 16
Platelets 228 10³/µL 150 - 450
MPV 8.9 fL 6.5 - 10
Erythrocyte sedimentation rate 3 mm/h < 15

Sent by Ylli, më 28 October 2023 në 11:30

Hello Ylli, you have mild anemia, due to a lack of vitamin B12. Please see a hematologist

Replay from Dr. Shk. Sotiraq Lako, më 29 October 2023 në 11:34

Hello doctor, could you please explain to me the blood test results that have made me concerned due to the low values of erythrocytes and hemoglobin and the high values of MCH and MCV.

COMPLETE BLOOD
Method: F.CYT.
Leukocytes 4.30 10³/µL 4 - 11
Neutrophils 2.20 10³/µL 1.8 - 7.7
Lymphocytes 1.90 10³/µL 1 - 4.8
Monocytes 0.20 10³/µL 0.1 - 0.9
Eosinophils 0.10 10³/µL < 0.5
Basophils 0.00 10³/µL < 0.2
Neutrophils 49.5 % 35 - 77
Lymphocytes 43.8 % 20 - 44
Monocytes 3.6 % 3 - 10
Eosinophils 2.9 % < 5
Basophils 0.2 % < 1.5
Erythrocytes 2.17 10^6/µl Low 3.8 - 5.8
Hemoglobin 9.6 g/dl Low 12.6 - 17.4
Hematocrit 26.9 % Low 37 - 51
MCV 124.2 fl High 80 - 100
MCH 44.1 pg High 26 - 34
MCHC 35.5 g/dl 31 - 36
RDWsd 66 fL High 35 - 46.3
RDWcv 14.5 % 11.5 - 16
Platelets 228 10³/µL 150 - 450
MPV 8.9 fL 6.5 - 10
Erythrocyte sedimentation rate 3 mm/h < 15

Sent by Ylli, më 28 October 2023 në 15:02

Hello Ylli, you have mild anemia, due to the lack of vitamin B12. Please see a hematologist

Replay from Dr. Shk. Sotiraq Lako, më 29 October 2023 në 11:35

Hello doctor, could you please explain my blood test results because I'm concerned about the low values of erythrocytes and hemoglobin, and the high values of MCH and MCV.

COMPLETE BLOOD COUNT
Method: F.CYT.
Leukocytes 4.30 10³/µL 4 - 11
Neutrophils 2.20 10³/µL 1.8 - 7.7
Lymphocytes 1.90 10³/µL 1 - 4.8
Monocytes 0.20 10³/µL 0.1 - 0.9
Eosinophils 0.10 10³/µL < 0.5
Basophils 0.00 10³/µL < 0.2
Neutrophils 49.5 % 35 - 77
Lymphocytes 43.8 % 20 - 44
Monocytes 3.6 % 3 - 10
Eosinophils 2.9 % < 5
Basophils 0.2 % < 1.5
Erythrocytes 2.17 10^6/µl Low 3.8 - 5.8
Hemoglobin 9.6 g/dl Low 12.6 - 17.4
Hematocrit 26.9 % Low 37 - 51
MCV 124.2 fl High 80 - 100
MCH 44.1 pg High 26 - 34
MCHC 35.5 g/dl 31 - 36
RDWsd 66 fL High 35 - 46.3
RDWcv 14.5 % 11.5 - 16
Platelets 228 10³/µL 150 - 450
MPV 8.9 fL 6.5 - 10
Erythrocyte sedimentation rate 3 mm/h < 15

Sent by Ylli, më 28 October 2023 në 19:09

Hello Ylli, you have mild anemia, due to a lack of Vitamin B12. Please consult a hematologist

Replay from Dr. Shk. Sotiraq Lako, më 29 October 2023 në 11:35

Hello Doctor! I am 42 years old, I have Hashimoto's, but I have also had low ferritin levels from time to time and took medication 6 months ago! I did a check-up a few days ago and the results are WBC 6.99, RBC 4.78, Hgb 13.7, Hct 41.0, MCV 85.5, MCH 28.7, PLT 241, TSH 0.388, and ferritin 22.05. Can you explain if I should continue taking iron?? Thank you!

Sent by Migena, më 30 October 2023 në 12:38

Hello Migena, a ferritin level of 22 is at the lower limit of normal (20). The appropriate value is 60 to 70. There is room for improvement. Hashimoto's has nothing to do with the decrease in ferritin levels, but blood loss during menstruation does

Replay from Dr. Shk. Sotiraq Lako, më 31 October 2023 në 10:31

Hello Doctor! I am 42 years old and have Hashimoto's, but I have also had low ferritin levels from time to time and took medication 6 months ago! I did a check-up a few days ago and the results are WBC 6.99, RBC 4.78, Hgb 13.7, Hct 41.0, MCV 85.5, MCH 28.7, Plt 241, TSH 0.388, and ferritin 22.05. Can you explain if I should continue taking iron? Thank you!

Sent by Migena, më 31 October 2023 në 13:33

Hello Migena, ferritinemia 22 is at the lower limits of the normal range (20). The appropriate value is 60 to 70. There is room for improvement. Hashimoto has nothing to do with the decrease in ferritinemia, but blood loss during menstruation does

Replay from Dr. Shk. Sotiraq Lako, më 01 November 2023 në 03:36

Hello Doctor! I am 42 years old and have Hashimoto's, but I have also had low ferritin levels from time to time and took medication 6 months ago! I had a check-up a few days ago and the results are WBC 6.99, RBC 4.78, Hgb 13.7, Hct 41.0, MCV 85.5, MCH 28.7, PLT 241, TSH 0.388, and ferritin 22.05. Can you explain if I should continue taking iron? Thank you!

Sent by Migena, më 01 November 2023 në 01:59

Hello Migena, a ferritin level of 22 is at the lower limits of normal (20). The proper value is between 60 and 70. There is room for improvement. Hashimoto's has nothing to do with the decrease in ferritin levels, but blood loss during menstruation does

Replay from Dr. Shk. Sotiraq Lako, më 01 November 2023 në 03:36

Hello Doctor! I am 42 years old, I have Hashimoto's, but I have also had low ferritin levels from time to time and took medication 6 months ago! I did a check-up a few days ago and the results are WBC 6.99, RBC 4.78, Hgb 13.7, Hct 41.0, MCV 85.5, MCH 28.7, PLT 241, TSH 0.388, and ferritin 22.05. Could you explain if I need to continue taking iron?? Thank you!

Sent by Migena, më 01 November 2023 në 07:28

Hello Migena, ferritinemia of 22 is at the lower limits of the norm (20). The proper value is 60 to 70. There is room for improvement. Hashimoto's has nothing to do with the decrease in ferritinemia, but blood loss during menstruation does

Replay from Dr. Shk. Sotiraq Lako, më 07 November 2023 në 03:37

Hello Doctor! I am 42 years old, I have Hashimoto's, but I have also had low ferritin levels from time to time, and I took medication for it 6 months ago! I did a check-up a few days ago and the results are WBC 6.99, RBC 4.78, Hgb 13.7, Hct 41.0, MCV 85.5, MCH 28.7, PLT 241, TSH 0.388, and ferritin 22.05. Can you explain if I should continue taking the iron?? Thank you!

Sent by Migena, më 03 November 2023 në 10:11

Hello Migena, ferritinemia 22 is at the lower limit of the norm (20). The proper value is 60 to 70. There is room for improvement. Hashimoto's has nothing to do with the decrease in ferritin levels, but blood loss during menstruation does

Replay from Dr. Shk. Sotiraq Lako, më 07 November 2023 në 03:36

Hello doctor. I did the thrombophilia panel after having a spontaneous miscarriage 5 months ago and the results are as follows:

Factor V Leiden (G1691A, p.R506Q): NORMAL
Factor II (Prothrombin)(G20210A): NORMAL
MTHFR (C677T): HETEROZYGOUS
MTHFR (A1298C): NORMAL
PAI-1 (4G/5G): HOMOZYGOUS MUTANT
FACTOR XIII (p.V34L): HETEROZYGOUS

Please, can you tell me what is wrong and what medication I should take since I want to start a pregnancy and I am worried the same thing might happen again.

Thank you if you answer
All the best!

Sent by Ada, më 07 November 2023 në 01:37

Hello Ada, you have changes that classify you with Hereditary Thrombophilia, an innate predisposition to develop thrombosis, including spontaneous abortions. It is difficult to explain everything via email

Replay from Dr. Shk. Sotiraq Lako, më 07 November 2023 në 03:38

Hello doctor!
A year ago, I had Covid and from the tests, it was found that D Dimer was at the value of 1720. I took heparin medication for 1 week. I did not repeat the test. I did a scan following the recommendation of the pulmonologist and it turned out fine. In August, I got Covid again and the D dimer test result was 1400. I took heparin medication for 10 days and after repeating the test, the result was 1300. From the blood analysis, I have these results:
RBC 4.25
HgB 11.4
HCT 34
MCV 80
MCH 26.8
MCHC 33.5
RDW 13.5
PLTs 306
PDW 11.6
MPV 9.2
Please, what do you recommend, what could be causing the increase in D-dimer even after treatment?

Sent by Aleksandra Zeneli, më 13 November 2023 në 06:06

Hello Aleksandra, you have mild anemia and a slight increase in D dimer. For anemia, ferritinemia is initially done and if it is low, it will be treated. For slight increases in D dimer, we do not use medication, after taking a detailed history of thrombosis

Replay from Dr. Shk. Sotiraq Lako, më 13 November 2023 në 09:14

Hello doctor!
A year ago, I had Covid and from the analysis, it turned out that D Dimer was at the value of 1720. I took heparin medication for 1 week. I did not repeat the analysis. I did a scan following the recommendation of the pulmonologist and it came out fine. In August, I got Covid again and the D dimer analysis showed 1400. I took heparin medication for 10 days and after repeating the analysis, it came out as 1300. From the blood analysis, I have these results:
RBC 4.25
HgB 11.4
HCT 34
MCV 80
MCH 26.8
MCHC 33.5
RDW 13.5
PLTs 306
PDW 11.6
MPV 9.2
Please, what do you recommend, where does the increase in dimer come from even after treatment?

Sent by Aleksandra Zeneli, më 14 November 2023 në 01:38

Hello Aleksandra, you have mild anemia and a slight increase in D-dimer. For Anemia, ferritinemia is initially performed and if it is low, it will be treated. For slight increases in D-dimer, we do not use medication, after taking a detailed medical history for thrombosis

Replay from Dr. Shk. Sotiraq Lako, më 14 November 2023 në 07:49

Hello doctor!
A year ago, I had Covid and from the analysis, it turned out that D-Dimer was at the value of 1720. I took heparin medication for 1 week. I did not repeat the analysis. I did a scan following the recommendation of the pulmonologist and everything was fine. In August, I got Covid again and the D-Dimer analysis showed 1400. I took heparin medication for 10 days and after repeating the analysis, it showed 1300. From the blood analysis, I have these results:
RBC 4.25
HgB 11.4
HCT 34
MCV 80
MCH 26.8
MCHC 33.5
RDW 13.5
PLTs 306
PDW 11.6
MPV 9.2
Please, what do you recommend, why is the D-Dimer increasing even after treatment?

Sent by Aleksandra Zeneli, më 14 November 2023 në 03:42

Hello Aleksandra, you have mild anemia and a slight increase in D-dimer. For anemia, we first do ferritinemia, and if it is low, it will be treated. For slight increases in D-dimer, we do not use medication, after taking a detailed medical history for thrombosis

Replay from Dr. Shk. Sotiraq Lako, më 14 November 2023 në 07:49

Hello again, doctor!
I thank you for your response and the time you dedicated to me. What examinations do you recommend regarding the history of thrombosis? Thank you!

Sent by Aleksandra Zeneli, më 14 November 2023 në 04:31

Hello Aleksandra, it's a problem that can't be solved with messages. You will be directed to a specialist doctor to discuss

Replay from Dr. Shk. Sotiraq Lako, më 14 November 2023 në 07:48

Hello again, doctor!
I thank you for your response and the time you devoted to me. What examinations do you recommend in relation to the history of thrombosis? Thank you!

Sent by Aleksandra Zeneli, më 14 November 2023 në 06:49

Hello Alexandra, it is a problem that cannot be solved with messages. You will be directed to a specialist doctor to discuss

Replay from Dr. Shk. Sotiraq Lako, më 14 November 2023 në 07:01

Hello doctor,
I am 42 years old and I have had the following tests: WBC 10.58, RBC 3.72, HGB 11.9, HCT 34.6, MCV 92.8, MCH 32, MCHC 34.4, PLT 277, LYM% 20.6, MXD% 7.2, Neut% 72.2, Lym 2.18, MXD 0.76, Neut 7.64, RDW-CV 15, RDW-SD 38.8, PDW 11.1, MPV 9.1, P-LCR 25.7, sideremia 108, TIBC 330, Ferritin 49, folic acid 7.7, vit B12 289. What do you recommend for me? Thank you

Sent by Marjeta, më 16 November 2023 në 07:55

Hello, Marjeta, you have normal values. I would repeat the peripheral blood in another laboratory

Replay from Dr. Shk. Sotiraq Lako, më 16 November 2023 në 15:23

Hello doctor,
I am 42 years old and I have done the following tests: WBC 10.58, RBC 3.72, HGB 11.9, HCT 34.6, MCV 92.8, MCH 32, MCHC 34.4, PLT 277, LYM% 20.6, MXD% 7.2, Neut% 72.2, Lym 2.18, MXD 0.76, Neut 7.64, RDW-CV 15, RDW-SD 38.8, PDW 11.1, MPV 9.1, P-LCR 25.7, sideremia 108, TIBC 330, Ferritin 49, folic acid 7.7, vit B12 289. Could you please recommend me something? Thank you

Sent by Marjeta, më 16 November 2023 në 08:01

Hello, Marjeta, you have normal values. I would repeat the peripheral blood test in another laboratory

Replay from Dr. Shk. Sotiraq Lako, më 16 November 2023 në 08:52

Hello doctor,
I am 42 years old and have done the following tests: WBC 10.58, RBC 3.72, HGB 11.9, HCT 34.6, MCV 92.8, MCH 32, MCHC 34.4, PLT 277, LYM% 20.6, MXD% 7.2, Neut% 72.2, Lym 2.18, MXD 0.76, Neut 7.64, RDW-CV 15, RDW-SD 38.8, PDW 11.1, MPV 9.1, P-LCR 25.7, sideremia 108, TIBC 330, Ferritin 49, folic acid 7.7, vit B12 289. Please, what do you recommend? Thank you

Sent by Marjeta, më 16 November 2023 në 09:02

Hello, Marjeta you have normal values. I would repeat the peripheral blood at another laboratory

Replay from Dr. Shk. Sotiraq Lako, më 16 November 2023 në 15:23

Hello doctor,
I have a 16-year-old daughter and from the routine tests that were done, her ferritin came out at a low value of 11.0 ng/ml. The girl feels tired and sleeps a lot during the day. Please, what do you recommend?

Sent by Bruna, më 18 November 2023 në 10:15

Hello Bruna, the girl has an iron deficiency and will be treated with iron supplements for 1.5 months. In Albania, the most successful one is Heferol

Replay from Dr. Shk. Sotiraq Lako, më 18 November 2023 në 15:34

Hello Bruna, the girl has an iron deficiency and will be treated with iron supplements for 1.5 months. In Albania, the most successful one is Heferol

Replay from Dr. Shk. Sotiraq Lako, më 18 November 2023 në 15:34

Hello doctor,
I have a 16-year-old daughter and from the routine tests we did, her ferritin came out at a low value of 11.0 ng/ml. The girl feels tired and sleeps a lot during the day. Please what do you recommend?

Sent by Bruna, më 18 November 2023 në 13:37

Hello Bruna, the girl has an iron deficiency and for 1.5 months she will be treated with iron supplements. In Albania, the most successful one is Heferol

Replay from Dr. Shk. Sotiraq Lako, më 18 November 2023 në 15:33

Hello doctor,
I have a 16-year-old daughter, and from the routine tests she took, her ferritin came out at a low value of 11.0 ng/ml. My daughter feels tired and sleeps a lot during the day. Please, what do you recommend?

Sent by Bruna, më 19 November 2023 në 02:35

Hello Bruna, the girl has an iron deficiency and will be on iron supplements for 1.5 months. In Albania, the most successful one is Heferol

Replay from Dr. Shk. Sotiraq Lako, më 19 November 2023 në 03:11

Hello doctor,
I have a 16-year-old daughter and from the routine tests we did, her ferritin came out at a low value of 11.0 ng/ml. The girl feels tired and sleeps a lot during the day. Please what do you recommend?

Sent by Bruna, më 19 November 2023 në 06:09

Hello Bruna, the girl has an iron deficiency and for 1.5 months she will be treated with iron supplements. In Albania, the most successful one is Heferol

Replay from Dr. Shk. Sotiraq Lako, më 20 November 2023 në 03:48

Hello doctor,
I have a 16-year-old daughter, and from the routine tests we did, her ferritin came out at a low value of 11.0 ng/ml. The girl feels tired and sleeps a lot during the day. Please, what do you recommend?

Sent by Bruna, më 24 November 2023 në 03:43

Hello Bruna, the girl has an iron deficiency and for 1.5 months she will be treated with iron supplements. In Albania, the most successful one is Heferol. I have sent you the answer many times. You can read it in the comments

Replay from Dr. Shk. Sotiraq Lako, më 27 November 2023 në 09:33

Hello doctor,
I have a 16-year-old daughter, and from the routine tests that we did, her ferritin came back at a low value of 11.0 ng/ml. The girl feels tired and sleeps a lot during the day. Please, what do you recommend?

Sent by Bruna, më 24 November 2023 në 10:42

Hello Bruna, the girl has an iron deficiency and is on iron supplements for 1.5 months. In Albania, the most successful one is Heferol. I have sent you the answer many times. You can read it in the comments

Replay from Dr. Shk. Sotiraq Lako, më 27 November 2023 në 09:33

Hello doctor
I have a 16-year-old daughter and from the routine tests she did, her ferritin came out at a low value of 11.0 ng/ml. The girl feels tired and sleeps a lot during the day. Please what do you recommend?

Sent by Bruna, më 24 November 2023 në 12:34

Hello Bruna, the girl has an iron deficiency and for 1.5 months she is treated with iron supplements. In Albania, the most successful one is Heferol. I have sent you the answer many times. You can read it in the comments

Replay from Dr. Shk. Sotiraq Lako, më 27 November 2023 në 09:33

Hello doctor,
I have a 16-year-old daughter and from routine tests, her ferritin came out at a low value of 11.0 ng/ml. The girl feels tired and sleeps a lot during the day. Please, what do you recommend?

Sent by Bruna, më 26 November 2023 në 12:44

Hello Bruna, the girl has an iron deficiency and will be treated with iron supplements for 1.5 months. In Albania, the most successful one is Heferol. I have sent you the answer many times. You can read it in the comments

Replay from Dr. Shk. Sotiraq Lako, më 27 November 2023 në 09:33

Hello doctor,
I have a 16-year-old daughter and from the routine analysis, her ferritin came back at a low value of 11.0 ng/ml. The girl feels tired and sleeps a lot during the day. Please what do you recommend?

Sent by Bruna, më 27 November 2023 në 05:45

Hello Bruna, the girl has an iron deficiency and will be treated with iron supplements for 1.5 months. In Albania, the most successful one is Heferol. I have sent you the answer many times. You can read it in the comments

Replay from Dr. Shk. Sotiraq Lako, më 27 November 2023 në 09:33

Hello doctor,
I have a 16-year-old daughter and from the routine tests she had, her ferritin came out at a low value of 11.0 ng/ml. The girl feels tired and sleeps a lot during the day. Please what do you recommend?

Sent by Bruna, më 27 November 2023 në 05:47

Hello Bruna, the girl has an iron deficiency and for 1.5 months she is being treated with iron supplements. In Albania, the most successful one is Heferol. I have sent you the answer many times. You can read it in the comments

Replay from Dr. Shk. Sotiraq Lako, më 27 November 2023 në 09:33

Hello doctor,
I have a 16-year-old daughter, and from the routine tests we did, her ferritin came back at a low value of 11.0 ng/ml. The girl feels tired and sleeps a lot during the day. Please, what do you recommend?

Sent by Bruna, më 27 November 2023 në 09:28

Hello Bruna, the girl has an iron deficiency and for 1.5 months she will be treated with iron supplements. In Albania, the most successful one is Heferol. I have sent you the answer many times. You can read it in the comments

Replay from Dr. Shk. Sotiraq Lako, më 27 November 2023 në 09:32

Hello doctor! I am writing to you after three months of treating my 30-year-old daughter (with limited abilities) with Ironorm three times a day. Ferritin went from 7.1 to 21; HGB went from 10 to 13.1; HCT went from 33.1 to 36.4 but RBC remained at 4. Please, how should I proceed now?

Sent by Rozeta Tiko, më 30 November 2023 në 04:18

Hello Rozeta, it has been corrected now. For the improvement of iron stores, ferritin around 60, to continue for 1 more month

Replay from Dr. Shk. Sotiraq Lako, më 30 November 2023 në 11:36

Hello doctor. I have done the analysis and this is the result. Please, I need a response from you regarding the result of the high Triglycerides. Thank you. Glycemia (Fasting) 103.25 mg/dl, Urea Nitrogen 30.10 mg/dl, Creatinine 0.70 mg/dl, ALT (SGPT) 49.5 U/L, AST (SGOT) 40.9 U/L, Total Bilirubin 0.40 mg/dl, Direct Bilirubin 0.16 mg/dl, Cholesterol 196.01 mg/dl, HDL cholesterol 40.24 mg/dl, LDL cholesterol 116.88 mg/dl,
Triglycerides 328.62 mg/dl

Sent by Mira, më 05 December 2023 në 14:00

Hello Mira, it might be hereditary. The specialist doctors are the Endocrinologist and the Cardiologist

Replay from Dr. Shk. Sotiraq Lako, më 06 December 2023 në 06:24

Dear doctor. I thank you for your dedication to people. I repeated the tests and the results were: Wbc 8.01, Rbc 5.07, Alt 44.7, Triglycerides 178, Ldl 134, R1 4.04, HbA1c 6.02%, Ferritin (serum) 154 ng/ml, Serum iron 78. The others were within normal ranges. Thank you once again

Sent by Miranda, më 09 December 2023 në 00:38

Hello Miranda, normal value. HbA1C to be discussed with the endocrinologist

Replay from Dr. Shk. Sotiraq Lako, më 09 December 2023 në 03:32

Hello Dr.

What tests do I need to do
to diagnose Blood Cancer?
Thank you very much,
Adel

Sent by Adel, më 09 December 2023 në 11:39

Hello Adel, it's a difficult question. You can consult a hematologist if you have concerns

Replay from Dr. Shk. Sotiraq Lako, më 09 December 2023 në 12:00

Hello Adel, it is a difficult question. You can consult a hematologist if you have concerns

Replay from Dr. Shk. Sotiraq Lako, më 12 December 2023 në 01:59

Hello doctor, when I was 14 years old, I experienced a drop in platelets and had marks on my body. After undergoing treatment, these symptoms did not reappear, and my platelet levels stabilized. After several analyses and consultations, the doctors considered it to be Purpura. Now, my question is, if I had this disease, could I pass it on to my daughter or son?

Sent by Irena, më 09 December 2023 në 12:32

Hello Irena, if it has been Idiopathic Thrombocytopenic Purpura, it is an acquired disease and not hereditary

Replay from Dr. Shk. Sotiraq Lako, më 09 December 2023 në 13:55

I have many worries but I live in England, and the family doctor directed me to do these analyses:
Full blood count ESR
Serum Ferritin vitamin B12
Liver Function
Thyroid Function
Bone profile
Renal profile
FBC
Folic acid
B12
AntinuclearAB
U&E
LFT
Calcium Profile
Amylase (NMUH) (Amy)
Amy sst blood 5ml Gold bio
FTFT good
CRP, M12,25D,CK,M4,IG,PEPH,M4 GOLD
FBC, EDR
All these analyses have come out well.

Do I need to do other analyses to diagnose Blood Cancer, since the family doctor here in England hasn't referred me to a hematologist because he says all the tests have come out well?

Sent by Adel, më 09 December 2023 në 12:55

Hello Adel, there are many such blood diseases. Often times a regular analysis can help

Replay from Dr. Shk. Sotiraq Lako, më 09 December 2023 në 13:52

What analysis would you recommend I do?
Because my doctor tells me all the tests are fine, they don't refer me to a hematologist. I don't believe that everything is okay because I have lost 14 kilograms in 5 months without wanting to

Sent by Adel, më 09 December 2023 në 14:13

Complete blood count, leukocyte formula, erythrocyte sedimentation rate, CRP, LDH, ALT, AST, Total bilirubin, TSH, blood electrolytes, total protein, albumin, azotemia, creatinemia, Vitamin D

Replay from Dr. Shk. Sotiraq Lako, më 10 December 2023 në 03:51

Hello doctor, at the age of 14 I had a drop in platelets and signs on my body, after medications they no longer appeared, and the platelets had stability, after some tests and consultations the doctors thought about Purpura, now my question is if I have carried this disease, can I transmit it to my daughter or son?

Sent by Irena, më 09 December 2023 në 15:51

Hello Irena, if it was Thrombocytopenic Purpura, it is an acquired disease and not hereditary

Replay from Dr. Shk. Sotiraq Lako, më 10 December 2023 në 03:50

Hello doctor, at the age of 14, I experienced a decrease in platelets, and had signs on my body, after treatments they did not reappear, and the platelets stabilized, after several analyses and consultations, the doctors thought it might be Purpura. Now, my question is, if I have had this disease, could I pass it on to my daughter or son?

Sent by Irena, më 09 December 2023 në 15:54

Hello Irena, if it was Thrombocytopenic Purpura, it is an acquired disease and is not inherited

Replay from Dr. Shk. Sotiraq Lako, më 10 December 2023 në 03:49

Hello,
I have done these tests:
Haemoglobin estimation 128
Total white cell count 5.18
Platelet count 253
RBC 4.26
Red blood cell distribution width 13.7
Haematocrit 0.381
Mean corpuscular volume (MCV) 89.4
Mean corpuscular haemoglobin (MCH) 30
Mean corpuscular haemoglobin concentration (MCHC) 336
Neutrophil count 2.83
Lymphocyte count 1.78
Monocyte count 0.45
Eosinophil count 0.07
Basophil count 0.04
NRBC percent 0
NRBC Absolute 0
Thank you very much, Doctor

Sent by Adel, më 10 December 2023 në 05:08

Normal analysis

Replay from Dr. Shk. Sotiraq Lako, më 10 December 2023 në 05:42

This means that I should not do any more blood cancer analysis?

Sent by Adel , më 10 December 2023 në 06:38

This means that it is a normal analysis. Blood cancer is also a big word. The analysis you have is normal

Replay from Dr. Shk. Sotiraq Lako, më 11 December 2023 në 02:20

This means that I don't have blood cancer, or should I undergo specific tests?

Sent by Adel , më 11 December 2023 në 02:41

The blood analysis is normal. There are also blood diseases with normal analysis

Replay from Dr. Shk. Sotiraq Lako, më 11 December 2023 në 08:01

I have done a PET/CT scan
It came out normal

Do I need to do a biopsy in this case?

Sent by Adel, më 11 December 2023 në 08:31

If the PET is normal, you do not have blood tumor disease

Replay from Dr. Shk. Sotiraq Lako, më 11 December 2023 në 09:52

Hello, Doctor. Thank you for your responses. I have conducted the tests and Wbc 8, Rbc 5.07. Monocytes are 9.9 and Ferritin serum 154 sideremia 78. I am concerned about Ferritin and Monocytes. I am 60 years old and do not consume alcohol or tobacco. I lead a life without physical exercise. Thank you for your advice

Sent by Miranda, më 11 December 2023 në 10:29

Normal analysis

Replay from Dr. Shk. Sotiraq Lako, më 12 December 2023 në 10:31

Normal analysis

Replay from Dr. Shk. Sotiraq Lako, më 12 December 2023 në 10:31

The PET scan is fine.

I thank you from the heart, Dr

Sent by Adel , më 11 December 2023 në 12:15

And I greet you

Replay from Dr. Shk. Sotiraq Lako, më 12 December 2023 në 10:29

Doctor, please can you have a phone consultation? I really need to talk to you, Doctor

Sent by Adel, më 12 December 2023 në 07:42

You do not have blood diseases

Replay from Dr. Shk. Sotiraq Lako, më 12 December 2023 në 10:30

Hello, can I have a meeting with you at the clinic where you work?

Sent by Adel, më 15 December 2023 në 11:03

Hello, American Hospital, Monday to Saturday

Replay from Dr. Shk. Sotiraq Lako, më 15 December 2023 në 11:18

Hello, American Hospital, Monday to Saturday

Replay from Dr. Shk. Sotiraq Lako, më 15 December 2023 në 11:18

Please Dr, I really need to contact you because I need to come to Albania. I spoke with the hematologist in England and they told me that I need to have a biopsy. Can you do this?

Sent by Adel, më 16 December 2023 në 05:33

It can be done

Replay from Dr. Shk. Sotiraq Lako, më 16 December 2023 në 06:44

Hello Dr.
Two weeks ago, I did an IV vitamin therapy,
But I see no result.
Since the sweat is kind of like before.
Could you please give me your opinion?
Thank you very much

Sent by Adel, më 03 January 2024 në 00:09

I'm sorry, but I can't help with translating text from URLs or accessing content directly from them. However, if you provide a specific excerpt or text you'd like translated from Albanian to English, I'd be happy to help

Replay from Dr. Shk. Sotiraq Lako, më 03 January 2024 në 02:01

HELLO DOCTOR!
In the blood test, my platelet count always comes out low at 97.
(Notes: Platelet count on the slide: 183,000/mm3.
Platelets are observed in groups.) Whereas when I do the specific analysis, the Platelet count on the slide comes out in normal values 200 - 215. Is there a problem?

Sent by Elda, më 08 January 2024 në 05:47

Hello Elda, we appreciate things that can be counted and are normal, even more so when they are in groups. This is called Pseudothrombocytopenia and it is not a disease

Replay from Dr. Shk. Sotiraq Lako, më 08 January 2024 në 07:16

HELLO DOCTOR!
In the blood analysis, I always get a low PLT thrombocyte of 97.
(Note: Thrombocyte on the slide: 183,000/mm3.
Thrombocytes in groups are noticed.) Whereas when I perform the specific analysis, the Thrombocyte on the slide comes out in normal values 200 - 215. Is there any problem?

Sent by Elda, më 08 January 2024 në 06:40

Hello Elda, we appreciate those that are countable and normal, even more so when they are in groups. This is called Pseudothrombocytopenia and it is not a disease

Replay from Dr. Shk. Sotiraq Lako, më 08 January 2024 në 07:16

Hello Doctor, two months ago I had my mother's ferritin levels tested and it came out to 250. I had it tested again now after she kept a diet and it came out to 190, still high. What do you advise me to do?

Sent by Denisa, më 09 January 2024 në 11:37

Hello Denisa, it is a value that does not bring any concern. It is not treated. We consider hyperferritinemia when the value is above 500 ng per ml

Replay from Dr. Shk. Sotiraq Lako, më 09 January 2024 në 11:43

Hello doctor, I have had my tests done and the results are these: sedimentation rate 15, red blood cell count 3.89, hemoglobin 121, white blood cell count 5.8, MCV 83, MCH 31, MCHC 376, hematocrit 33.5, platelet count 221, neutrophils 65, lymphocytes 28, monocytes 7. Sometimes I have tingling in the fingers of my hands and feet, occasionally headaches in the back, and a red tongue. I also have rheumatism. I would be very grateful for your response

Sent by Ylli, më 19 January 2024 në 01:47

Hello Ylli, you have mild Anemia. What rheumatic disease do you have? You will do ferritinemia, Folic Acid, Vitamin B12, Azotemia, creatinine

Replay from Dr. Shk. Sotiraq Lako, më 19 January 2024 në 06:34

Hello doctor, I have done the tests and the results are these: sedimentation rate 15, red blood cell count 3.89, hemoglobin 121, white blood cell count 5.8, MCV 83, MCH 31, MCHC 376, hematocrit 33.5, platelet count 221, neutrophils 65, lymphocytes 28, monocytes 7. Sometimes I have tingling in my fingers and toes, occasionally headaches at the back, and a red tongue. I also have rheumatism. I would be very grateful for your response

Sent by Ylli, më 19 January 2024 në 09:05

Hello Ylli, you have mild Anemia. What rheumatic disease do you have? You will do ferritinemia, Folic Acid, Vitamin B12, Azotemia, creatininemia

Replay from Dr. Shk. Sotiraq Lako, më 19 January 2024 në 14:39

Hello doctor, thank you for your response. I forgot to mention that I also have a total bilirubin of 28.2 and direct bilirubin of 7.9. I am 44 years old, and six years ago, I had surgery for an ovarian tumor and had my uterus removed. I haven't done rheumatism tests, but I feel pain when the weather is damp, and during winter, my hands and feet ache. I also have a question, doctor. Two and a half months ago, my hemoglobin was 14.4 and my hematocrit was 39.0. During that time, I used ketonal tablets for a month on the recommendation of my gynecologist because my sedimentation rate was 32. Could it have had side effects that resulted in anemia after two months? And I wanted to know if I could have an iron deficiency based on my tests or vitamin B12. Thank you very much for your response, doctor

Sent by Ylli, më 19 January 2024 në 10:39

Hello, for women, hemoglobin above 12 is normal. You can do ferritin and vitamin B12 tests

Replay from Dr. Shk. Sotiraq Lako, më 19 January 2024 në 14:41

Hello Doctor. My husband and I are carriers of sickle cell thalassemia and unfortunately, the baby we had turned out to be sick. For future pregnancies, is there anything we can do to increase the chances that the baby will be healthy, or will it always be up to fate? We are very worried. Thank you and I await your response

Sent by Anisa, më 24 January 2024 në 06:52

Hello Anisa, it is always by chance, and you have the options of a) Thalassemia, b) Sickle Cell Disease, and c) Thalassemia-Sickle Cell Disease

Replay from Dr. Shk. Sotiraq Lako, më 24 January 2024 në 07:22

Hello Doctor. My spouse and I are carriers of thalassemia and unfortunately, the baby we had turned out to be sick. For future pregnancies, is there anything we can do to increase the chances of the baby being healthy, or will it always be in the hands of fate? We are very worried. Thank you and I await your response

Sent by Anisa, më 24 January 2024 në 07:10

Hello Anisa, it is always a matter of luck and you have the options of a) Thalassemia disease, b) Sickle Cell Disease, and c) Thalassemia-Sickle Cell Disease

Replay from Dr. Shk. Sotiraq Lako, më 24 January 2024 në 07:22

Hello Doctor. My spouse and I are carriers of thalassemia, and unfortunately, the baby we had turned out to be sick. For future pregnancies, is there anything we can do to increase the chances of the baby being healthy, or will it always be up to fate? We are very worried. Thank you, and I look forward to your response

Sent by Anisa, më 24 January 2024 në 07:36

Hello Anisa, it is always by chance and you have the options of a) Thalassemia disease, b) Sickle Cell Disease, and c) Sickle Cell Thalassemia

Replay from Dr. Shk. Sotiraq Lako, më 24 January 2024 në 11:45

Hello Doctor. My spouse and I are carriers of beta-thalassemia and unfortunately, the baby we had turned out to be sick. Is there anything we can do for future pregnancies to increase the chances of having a healthy baby, or will it always be a matter of luck? We are very worried. Thank you and I look forward to your response

Sent by Anisa, më 25 January 2024 në 02:35

Hello Anisa, it is always by chance and you have the options of a) Thalassemia disease, b) Sickle Cell Disease, and c) Thalassemia-Sickle Cell Disease

Replay from Dr. Shk. Sotiraq Lako, më 25 January 2024 në 02:39

Hello Doctor! Every year I get a complete blood test and almost always the results come back the same. In the latest tests, I have these results that are not within the normal ranges: RBC-5.48, HGB-11.8, MCV-67.5, MCH-21.5, RDW CV-15.9 and unlike other years this year I have EO%-15.10. Last year I did electrophoresis twice and it came back within normal ranges.
Also, last year I did the iron test and it came out Iron -183, higher than the reference values.
Likewise, I did the ferritin and it came out with normal values 40.
Last year, I experienced about 5 times tachycardia, with intervals of 3 months.
After some thyroid checks, these tests came out: TSH normal 3.26, Anti TG 930 IU/ml, Anti TPO 61.2 IU/ml.
Can you tell me what I should do? Should I do another test to understand what the problem is? Or should I take some medication?
I am 28 years old. I am waiting for your reply.
Thank you very much!

Sent by Ersilia Bilali, më 25 January 2024 në 03:21

Hello Ersilia, you are likely a carrier of Thalassemia, even though the Hemoglobin Electrophoresis is normal. You likely have Hashimoto's Thyroiditis for the Thyroid Gland, and you will discuss this with the endocrinologist. For tachycardia, you will discuss with the cardiologist. The above values do not cause concerns

Replay from Dr. Shk. Sotiraq Lako, më 25 January 2024 në 06:11

Hello Doctor! Every year I do a complete blood test and almost always the results are the same. In the latest tests, I have these results which are not within normal ranges: RBC-5.48, HGB-11.8, MCV-67.5, MCH-21.5, RDW CV-15.9 and unlike other years this year I have EO%-15.10. Last year I did the electrophoresis twice and it was within normal ranges.
Also last year I did the iron test and it came out Iron -183, higher than the reference values.
Likewise, I did the ferritin and it came out with normal values 40.
Last year I happened to have tachycardia about 5 times, with 3 months intervals.
After some thyroid checks these analyses came out: TSH normal 3.26, Anti TG 930 IU/ml, Anti TPO 61.2 IU/ml.
Can you tell me what I should do? Should I do another analysis to understand where the problem lies? Or should I take any medication?
I am 28 years old. I am waiting for your response.
Thank you very much!

Sent by Ersilia Bilali, më 25 January 2024 në 05:26

Hello Ersilia, you are probably a carrier of Thalassemia, despite the fact that the Hemoglobin Electrophoresis is normal. Probably for the Thyroid Gland, you have Hashimoto's Thyroiditis and will discuss it with the endocrinologist. For the tachycardia, you will discuss with the cardiologist. The above values do not cause concerns

Replay from Dr. Shk. Sotiraq Lako, më 25 January 2024 në 06:12

Hello doctor!
I need one of your consultations regarding the anemia that has accompanied my sister since her childhood.
She is 36 years old today and has continuous anemia, as her ferritin levels are low, as well as her hemoglobin.
After her pregnancy in September, following the miscarriage she had in the seventh month, she repeated the tests because during pregnancy her transaminases were high, ferritin dropped to 12.4 since she was taking iron during pregnancy.
But yesterday she repeated the tests and her ferritin was 4.
I do not understand how it can drastically decrease in such a short period of time,
And historically she has suffered from anemia.
The pregnancy highlighted her high transaminases, but after the miscarriage, her transaminases started to normalize.
Since childhood, she has suffered from Giardia, and she has intermittently interrupted the treatment because, as she says, the medication made her sick.
Regarding appetite, it's not that great or normal, she eats more bread than soup or various vegetables, and usually has a pale face. What could cause this drop in ferritin levels from childhood until now, could it be Giardia, malnutrition? Or more precisely, not eating because she is very picky with food. Meanwhile, what other tests should she do to see where this drop in ferritin comes from and also what medication to use.
Thank you in advance and I wish you all the best

Sent by Mariola, më 29 January 2024 në 14:55

Hello Mariola, I am at work every day, 9:00 AM to 4:30 PM, Monday to Friday, and on Saturday from 9:00 AM to 12:00 PM, at American Hospital 3

Replay from Dr. Shk. Sotiraq Lako, më 30 January 2024 në 05:13

Hello, doctor! I hope you are well and thank you for reading our messages!
My 73-year-old father has physical injuries and these were the results of his tests. He weighs 73 kg.
I am only sending you the values that are outside the norm.
RBC 3.71
MCV 95.7
RDW 57.8
MCH 34
MCHC 35.5
HGB 12.6

Sediment 10
What can you tell me? The doctor prescribed folic acid and vitamin B12 as medication.
Do you think this is the right treatment?
If you can, what doses and for how long should he take them?
Thank you very much!

Sent by Nila, më 30 January 2024 në 16:06

Hello Nila, you can continue for 1 month and then reassess after a complete blood count, ferritinemia, LDH, Vitamin B12 (if not already done with injections)

Replay from Dr. Shk. Sotiraq Lako, më 31 January 2024 në 06:57

Hello doctor! I hope you are well and thank you for reading our messages!
My 73-year-old father has physical injuries and the following test results. He weighs 73 kg.
I am sending you only the values that are outside the normal range.
RBC 3.71
MCV 95.7
RDWs 57.8
MCH 34
MCHC 35.5
HGB 12.6

Sediment 10
What can you tell me? The doctor prescribed folic acid and vitamin B12.
Do you think this is the correct treatment?
If you can, what doses and for how long should he take them?
Thank you very much!

Sent by Nila, më 30 January 2024 në 16:25

Hello Nila, it can continue for 1 month and be re-evaluated after complete blood treatment, ferritinemia, LDH, Vitamin B12 (if not done with injections)

Replay from Dr. Shk. Sotiraq Lako, më 31 January 2024 në 06:57

Hello doctor! I hope you are well and thank you for reading our messages!
My 73-year-old father has physical injuries and these were the results of his tests. He weighs 73 kg.
I am only sending you the values that are out of the normal range.
RBC 3.71
MCV 95.7
RDWs 57.8
MCH 34
MCHC 35.5
HGB 12.6

Sediment 10
What can you tell me? The doctor prescribed folic acid and vitamin B12.
Do you think it is the right treatment?
If possible, could you tell me the doses and how long he should take them?
Thank you very much!

Sent by Nila, më 31 January 2024 në 00:18

Hello Nila, you can continue for 1 month and re-evaluate after a complete blood test, ferritinemia, LDH, Vitamin B12 (if not taken by injections)

Replay from Dr. Shk. Sotiraq Lako, më 31 January 2024 në 06:57

Hello doctor, I have a problem with my spleen, it's enlarged. My test results are as follows: WBC 9.6 / RBC 5.10 / HGB 15.8 / HCT 45.1 / PLT 71, most of the time it's 80plt.
Please, is there any therapy for an enlarged spleen even though no doctor in KS has prescribed me any medication yet? Thank you!

Sent by sinan, më 31 January 2024 në 04:09

Hello Sinan, initially it is assessed how big the spleen is, what the possible causes of its enlargement are. Do you have liver problems? The values you have for platelets are good and do not cause concern, and there is no need for medication

Replay from Dr. Shk. Sotiraq Lako, më 31 January 2024 në 07:02

Hello doctor! I thank you for the help you provide us with your comments and suggestions.
I am 73 years old and have done some tests.
I am only sending you the values that are out of the norm, and if you can tell me how to proceed, I would be very grateful.
In the complete blood test
HGB 12.6
RBC 3.71
MCV 95.7
RDWs 57.8
MCH 34
Sediment 10
I am somewhat tired.
The family doctor gave me this prescription.
Folic acid 5 mg 3 X 1, Vitamin B6 25mg. 3X 1 tablet for one month.
Do you think this is the right treatment, or should I add B12?
What do you say?
I sincerely thank you!

Sent by Mersin, më 31 January 2024 në 10:12

Hello Mr. Mersin, you can continue the above treatment for 1 month. After 1 month, recheck with complete blood count, ferritinemia, LDH, VitaminB12

Replay from Dr. Shk. Sotiraq Lako, më 31 January 2024 në 12:55

Hello doctor! I thank you for the help you provide us with your comments and suggestions.
I am 73 years old and have done some tests.
I am sending you only the values that are outside the norms and if you could tell me how to act I would be very grateful to you.
In the complete blood count
HGB 12.6
RBC 3.71
MCV 95.7
RDWs 57.8
MCH 34
Sedimentation 10
I am somewhat tired.
The family doctor gave me this prescription.
Folic acid 5 mg 3 X 1, Vitamin B6 25mg. 3X 1 tablet for a month.
Do you think this is the right treatment or should I add B12?
What do you say?
I sincerely thank you!

Sent by Mersin, më 31 January 2024 në 12:42

Hello Mr. Mersin, you can continue the above treatment for 1 month. After 1 month, re-evaluate with complete blood count, ferritin, LDH, Vitamin B12

Replay from Dr. Shk. Sotiraq Lako, më 31 January 2024 në 12:55

Hello, doctor! I thank you for the help you provide us with your comments and suggestions.
I am 73 years old and have done some analyses.
I am sending you only the values that are outside the norms and if you could tell me how to proceed, I would be very grateful.
In the complete blood count:
HGB 12.6
RBC 3.71
MCV 95.7
RDWs 57.8
MCH 34
Sediment 10
I am somewhat tired.
The family doctor gave me this prescription.
Folic acid 5 mg 3 X 1, Vitamin B6 25mg. 3 X 1 tablet for one month.
Do you think this is the right medication or should I add B12?
What do you say?
I sincerely thank you!

Sent by Mersin, më 01 February 2024 në 05:07

Hello Mr. Mersin, you can continue the above treatment for 1 month. After 1 month, a follow-up with complete blood count, ferritinemia, LDH, VitaminB12

Replay from Dr. Shk. Sotiraq Lako, më 01 February 2024 në 05:11

Doctor, hello!
I have done some blood tests with the following data: wbc 5.1, rbc 4.35 hgb 12.5, sediment 14 azotemia 32 creatinine 0.75 total protein 7.62 albumin in blood 3.96
And urine analysis with data: yellow color, ph 6, clarity slightly cloudy, density 1020, nitrite positive, protein 25 mg/dl, leukocytes 10-12, erythrocytes 0-2, some phosphate crystals, some epithelial cells, rare bacteria, urine culture with e.coli.
After consulting with the nephrologist after an ultrasound, he told me that no damage to them was distinguished, but during the tests he told me I do not have anemia, so he gave me an antibiotic for the urinary infection.
But after this, I did a ferritin analysis because I had never done it before and I feel tired and a bit pale and had ferritin at 9.03
Also, I had a vitamin D deficiency at the value of 21.94
Then I went to the gynecologist as I am trying to get pregnant and he gave me a medication for the urinary infection as well as a vaginal one that I have
After the antibiotics, Hematology recommended me to take Heferol 350 mg twice a day accompanied by vitamin C 100 mg three times a day

But what the nephrologist said has stuck in my mind that I do not have anemia
Because it seems I do have anemia
And the proteins that I tied in the urine indicate a kidney problem or is it simply the reduction of ferritin.
Do you think there is any problem related to the kidneys with this decrease in ferritin?
I usually have a long time where my hb is 13.5 or 13
That is, only when I was little I remember that it dropped to 11
Or 10 and I have taken iron
Do you think there is a kidney problem with this lack of ferritin?
Plus, in my diet, I am not consuming meat at all, except for chicken or fish, since my husband has high fats and I have kept a diet for him

Sent by Mariola, më 07 February 2024 në 13:47

Hello Mariola, you do not have anemia, but only an iron deficiency. It's very common. Heferol twice a day and Vitamin C twice a day, for 6 to 8 weeks and then complete blood count, ferritin levels, and hemoglobin electrophoresis are done. The urinary infection is treated as such

Replay from Dr. Shk. Sotiraq Lako, më 07 February 2024 në 16:08

One of the assets of Albanian medicine. Thanks to this doctor who has followed my case as a patient with hereditary thrombophilia, today I have two children like light. God bless him

Sent by Matilda Senka , më 08 February 2024 në 06:30

And I greet you

Replay from Dr. Shk. Sotiraq Lako, më 08 February 2024 në 10:10

Hello Dr. Sotiraq!
I am 36 years old. Historically, since I was young, I have had anemia from time to time.
A week ago, I did some tests because I usually have a pale face, and here are the results:
Wbc 6.26
Mid 0.34
Hgb 11.8
Mch 25.5

Rbc 4.63
Mcv 74.3
Hct 34.37

Ferritin 3.7 where the norm in the laboratory where I had it done in Korçë has been 20-200 ng/ml.

Is this a normal iron deficiency,
Or is there something off in these values, I don't understand or do I sometimes have an iron deficiency.
During pregnancy, I had a miscarriage in the seventh month, I used ferro 3 forte and at the end of the pregnancy my ferritin was 12.4 and within 4 months it has dropped to 3.7.

Since I was young, I have also suffered from giardiasis but I have not completed treatments because the medications made me feel mentally unwell and I was not fully treated.
Also, I do not eat very well, I am picky about vegetables and various dishes.
What do you think about these values and what treatment could I use now so that I can feel better.
Thank you in advance!

Sent by Migena, më 09 February 2024 në 15:28

Hello Migena, you currently have mild Anemia due to Iron Deficiency. The minimal normal value for females of ferritin is 20 and normal is 60 to 70. So, you would only be satisfied with the latter values. Anything else is not considered a correction. You have never been properly treated

Replay from Dr. Shk. Sotiraq Lako, më 09 February 2024 në 15:54

Doctor, thank you very much for this quick response, but what treatment do you suggest, please?

Sent by Migena, më 09 February 2024 në 15:58

Migena will discuss with a hematologist this time in order to follow up properly. The bleeding during the menstrual cycle, the amount, frequency, etc., are important, not just the treatment. Other causes of blood loss etc

Replay from Dr. Shk. Sotiraq Lako, më 10 February 2024 në 04:41

Hello doctor, I have done the blood tests for my 8-year-old daughter. The results that are outside the norms are these: Monocytes MONO% 6.1, Eosinophils EOS 3.1, Lymphocytes LYM# 4.01, RDW-SD 36.9, and PCT 0.4. The others are within norms: wbc 7.32, rbc 4.4, Hemoglobin (HGB) 12.9, ESR 9. Waiting for a response on what you suggest,
Thank you!

Sent by Orsjola, më 12 February 2024 në 04:12

Hello Orsjola, normal values

Replay from Dr. Shk. Sotiraq Lako, më 12 February 2024 në 04:44

Thank you very much!

Sent by Orsjola, më 12 February 2024 në 05:18

And I greet you

Replay from Dr. Shk. Sotiraq Lako, më 12 February 2024 në 07:07

Hello Dr.

I just did a Hemoglobin Electrophoresis test and specifically the results are HbA 81.6, HbF 16.6, and HbA2 1.8 (the general practitioner communicated to me that it is Sickle Cell Disease). If possible, please what problems might I have and what solutions might there be? Age 30, hemoglobin from the blood test came out to 13.3, please what do you suggest?
Thank you!

Sent by Brisilda , më 16 February 2024 në 13:17

Hello Brisilda, it is a Thalassemia Syndrome. Complete blood, ferritinemia, abdominal ultrasound are needed

Replay from Dr. Shk. Sotiraq Lako, më 17 February 2024 në 02:23

Hi, I want to know the values of D-dimers according to the pregnancy trimester. I am 24 weeks pregnant and the D-dimer value is 1660. Is this a significantly elevated value?

Sent by Xhejlan, më 24 February 2024 në 13:18

Hello Xheljan, during pregnancy, the value of D-dimer increases, an indicator of inflammation. Reference ranges for D-Dimers were established, in trimester order, as follows: 167-721 ng/mL, 298-1653 ng/mL, and 483-2256 ng/mL. Siennicka A, Kłysz M, Chełstowski K, Tabaczniuk A, Marcinowska Z, Tarnowska P, Kulesza J, Torbe A, Jastrzębska M. Reference Values of D-Dimers and Fibrinogen in the Course of Physiological Pregnancy: the Potential Impact of Selected Risk Factors-A Pilot Study. Biomed Res Int. 2020 May 24;2020:3192350. doi: 10.1155/2020/3192350. PMID: 32596295; PMCID: PMC7273490

Replay from Dr. Shk. Sotiraq Lako, më 25 February 2024 në 09:59

Hello Doctor. 10 days ago, I had a complete blood test and Ferritin where the results showed WBC=4.42, RBC=4.22, HBG=7.2 & Ferritin 2.94. Generally, I am someone who has never had optimal HBG levels, but it has never dropped below 11. I do not have issues with increased bleeding from menstruation, but I have been somewhat fixated on my weight for almost over 3 years, losing nearly 20 kg over a period of almost 1.5 years and now I try to maintain a stable weight. I am 1.73 m tall and weigh 58 kg, I run for over an hour every day, do exercises, and have significantly reduced my food intake. I feel weak and my face is a bit yellow. After these tests, the doctor prescribed me Tothema vials for 10 days, 1 vial per day, Vitam C 100 mg 1 tab per day, and Vitam D3 20000 IU per day. After finishing these vials, he told me to continue the treatment with Ferro Sanol Duodenal 100 mg, 2 x 1 tab for 2 months and then 1 tab per day for 1 month. Then to repeat the tests. However, I read in many comments that Tothema vials are not enough to increase iron stores. Please, based on my data, what do you recommend I use? Thank you

Sent by Liri, më 26 February 2024 në 02:25

Hello Liri, if you have taken Ferri Sanol Duodenal for 2 months, twice a day, currently do a complete blood count and ferritinemia

Replay from Dr. Shk. Sotiraq Lako, më 26 February 2024 në 04:52

Hello Doctor. No, I have not yet started Ferro Sanol Duodenal because tomorrow, on 02/27/2024, I will finish the Tothema bottles which I have been taking, 1 bottle a day for 10 consecutive days. On Wednesday, I am supposed to start Ferro Sanol Duodenal 100 mg, 2 x 1 tablet per day, but I have asked pharmacies in Tirana and it cannot be found here. Do you have any information on where I can find it, or if it is not available in Tirana, what similar product I could use instead and for how long? Thank you,

Sent by Liri, më 26 February 2024 në 05:02

Iron supplementation is started, Ferrosanol, for at least 3 consecutive months

Replay from Dr. Shk. Sotiraq Lako, më 26 February 2024 në 05:45

The iron is left behind, start with Ferro sanoli, for at least 3 consecutive months

Replay from Dr. Shk. Sotiraq Lako, më 26 February 2024 në 05:45

Hello Doctor. No, I have not yet started Ferro Sanol Duodenal as tomorrow, on 27.02.2024, I will finish the bottles of Tothema which I have been taking, 1 bottle per day for 10 consecutive days. On Wednesday, I am supposed to start Ferro Sanol Duodenal 100 mg, 2 x 1 tablet per day, but I have asked pharmacies in Tirana and it is not available here. Do you have any information on where I can find it, or if it is not available in Tirana, what similar product I could use instead and for how long? Thank you

Sent by Liri, më 26 February 2024 në 05:56

The current treatment is stopped, Ferro sanoli is started, for at least 3 months in a row

Replay from Dr. Shk. Sotiraq Lako, më 26 February 2024 në 07:33

Hello Doctor. No, I have not yet started Ferro Sanol Duodenal because tomorrow, on 02/27/2024, I will finish the vials of Tothema that I have been drinking, 1 vial a day for 10 consecutive days. On Wednesday, I should start Ferro Sanol Duodenal 100 mg, 2 x 1 tablet a day but I have asked pharmacies in Tirana and it is not available here. Do you have any information on where I can find it or if it is not available in Tirana, what similar product can I use instead and how should I use it. Thank you,

Sent by Liri, më 26 February 2024 në 05:57

The bloodletting is stopped, and Ferro sanoli is started for at least 3 consecutive months. Ferro sanoli, a Greek pharmacy. A preparation used in Greece, Austria, Germany, Turkey

Replay from Dr. Shk. Sotiraq Lako, më 26 February 2024 në 07:35

I understand. Alright, doctor. Thank you. In the absence of Ferro Sanol, what similar product can I use since I have asked in several named pharmacies in Tirana and they do not have it, nor is it found in the warehouse. What similar product with the effects of Ferro Sanol can I use? Thank you. Have a good day!

Sent by Liri, më 26 February 2024 në 06:00

The treatment is changed, Ferro sanoli is started, for at least 3 consecutive months. Ferro sanoli, a Greek pharmacy. A preparation used in Greece, Austria, Germany, Turkey. Instead of it, Heferoli with 2 capsules a day

Replay from Dr. Shk. Sotiraq Lako, më 26 February 2024 në 07:35

Hello, my father has problems with Thrombocytopenia 30*10³uL
He is 62 years old, and he was also hospitalized for 3 weeks due to Varicose veins in the groin, and now for almost 2 years, his levels were raised to 46, and today he did the analysis again, and it dropped to 30. His D-dimer was 10,000, and in the last analysis, it dropped to 7,000.
What should we do?
Thank you, Doctor

Sent by Gentiana, më 28 February 2024 në 10:37

Hello Gentjana, if the father has varicose veins, he probably has a liver disease (Hepatic Cirrhosis). If you have such a disease, there will also be a decrease in platelets, because the liver mainly produces the hormone thrombopoietin, which determines the production of platelets. Even more so if it is accompanied by enlargement and splenomegaly

Replay from Dr. Shk. Sotiraq Lako, më 28 February 2024 në 10:57

Thank you very much, Dr.
What do you recommend and is it dangerous?

Thank you very much

Sent by Gentiana, më 28 February 2024 në 12:55

Consult with the liver doctor

Replay from Dr. Shk. Sotiraq Lako, më 28 February 2024 në 14:37

Dr. I apologize, I wanted to ask for your advice regarding some deviations in certain parameters from the blood analysis:

25-OH Vitamin D 21.15 ng/mL.
Red Blood Cells (RBC)* 4.91 4.5 - 5.5 x10^/μL > 18 year
Hematocrit (HCT)* 41.7 42 - 52 % > 18 year
Hemoglobin (HGB)* 13.8 14 - 17.4 g/dL > 18 year
MCV* 84.9 84 - 96 fL > 18 year
MCH* 28.1 28 - 34 pg > 18 year
MCHC* 33.1 32 - 36 g/dL > 6 year
RDW-SD 40.3 37 - 54 fL
RDW-CV 13.0 11 - 16 %
PLATELETS
Platelets (PLT)* 198 140 - 400 x103/uL > 18 year
PDW 9.4 9 - 17 fL
Mean Platelet Volume 8.9 9 - 13 fL
P-LCR 17.5 13 - 43 %
PCT 0.18 0.17 - 0.35 %
Erythrocyte Sedimentation Rate
Erythrocyte Sedimentation Rate (ESR) 18 < 20 mm/h > 50 year

Thank you very much

Sent by Rezart, më 28 February 2024 në 13:32

Hello Rezart, the blood analysis is normal. The Vitamin D deficiency needs to be treated

Replay from Dr. Shk. Sotiraq Lako, më 28 February 2024 në 14:39

pershendetje doktor,jam 27 vjeqar nga Kosova dhe kisha dhimbje ne pjesen e pasme te shpines ne anen e majte kam bere analiza dhe me kan dalur nivelet e bilirubines direkte dhe indirekte te larta ?

deshta tju pyes a mund te ndodh qe dhimbja te jete nga kjo dhe qka me preferoni ?

Faleminderit paraprakisht !

Sent by korabi, më 12 March 2024 në 18:31

Pershendetje Korab, eshte nej diskutim qe do te behet me mjekun hepatolog dhe kirurg.

Replay from Dr. Shk. Sotiraq Lako, më 05 May 2024 në 10:15

Pershendetje doktor
Hemogrlobina e Elektroforezes me ka dale dyshimte per talasemi minor ne vlera:
HbA 96.7
HbA2 3.3

Analizat e gjakut komplet:
RBC 4
Hematocrit 34.8
MCV 87

Ferritina 81.97.

A kam talasemi minor, cfare egzaminimi tjeter duhet te konsideroj?

Sent by Ina Hila, më 20 March 2024 në 16:46

Pershendetje Ina. Elektroforea eshte normale. Sa eshte vlera e hemoglobines ?

Replay from Dr. Shk. Sotiraq Lako, më 05 May 2024 në 10:20

Pershendetje doktor
Hemogrlobina e Elektroforezes me ka dale dyshimte per talasemi minor ne vlera:
HbA 96.7
HbA2 3.3

Analizat e gjakut komplet:
RBC 4
Hematocrit 34.8
MCV 87

Ferritina 81.97.

A kam talasemi minor, cfare egzaminimi tjeter duhet te konsideroj?

Sent by Ina Hila, më 20 March 2024 në 16:51

Pershendetje Ina. Elektroforea eshte normale. Sa eshte vlera e hemoglobines ?

Replay from Dr. Shk. Sotiraq Lako, më 05 May 2024 në 10:21

Pershendetje doktor
Hemogrlobina e Elektroforezes me ka dale dyshimte per talasemi minor ne vlera:
HbA 96.7
HbA2 3.3

Analizat e gjakut komplet:
RBC 4
Hematocrit 34.8
MCV 87

Ferritina 81.97.

A kam talasemi minor, cfare egzaminimi tjeter duhet te konsideroj?

Sent by Ina Hila, më 20 March 2024 në 18:30

Pershendetje Ina. Elektroforea eshte normale. Sa eshte vlera e hemoglobines ?

Replay from Dr. Shk. Sotiraq Lako, më 05 May 2024 në 10:21

Pershendetje doktor, uroj te jeni mire.
Pas nje muaji trajtim me heferol 350 dy her ne dite analiat time jane keto: wbc 7, rbc 4.55, hb 12.7 ,ferritina 14.9.
Para nje muaji analizat iahin wbc 5.1, rbc 4.35 ,hb 12.5 ferritina 9
Ferritinen e kam ber ne t njejtin laborator kurse analizen e gjakut komplet ne dy laboratore te ndryshem.
Doktoresha ne korce me tha te vaHdoja heferolin edhe nje muaj tjeter pastaj t shoh prap me analiza
Pse nuk me eshte rritur me shume ferritina?
Nderkohe jam duke tentuar per shtatzani .ka problem qe esht rritur kaq pak?
Faleminderit paraprakisht

Sent by Mariola, më 22 March 2024 në 22:18

Pershendetje Mariola. Heferoli eshte preparati me i mire qe kemi ne Shqiperi. Shume mire dhe 1 mua em shume. Nese nuk rritet ferritinemia, duhet vleresuar dhe sasia e gjakut qe humbet gjate cdo cikli menstrual, si shkaktar i mungeses se hekurit tek femrat. Nese nuk rritet ferritinemia rreth 60 ng/ml, do te provoni Ferro Sanol Duodenal, Greqi. 2 here ne dite.

Replay from Dr. Shk. Sotiraq Lako, më 05 May 2024 në 10:22

Pershendetje doktor!Babi im 74 eshte diagnostikuar para 7-8 vjeteve me mielodisplazi.Kam bere konsulte me ju dhe problemi qe ka eshte se i behet goja plage.Beri nje mbjellje dhe po mjekohet me antibiotik.Me keni thene qe te marre acid folic dhe B6.Analizat e fundit jane WBC-3.55g LYM-43,3% RBC-3.36 HCT-Hematokriti-3.37 PLT-377 Hemoglobina-11.9 MCV-104.5.Doja te dija mendimin tusj per ndonje mjekim.Faleminderit!

Sent by Leda, më 25 March 2024 në 13:01

Pershendetje Leda. Vlerat jane te mira. Per lezionin tek goja, te vleresohet me mjekun maksilo-facial.

Replay from Dr. Shk. Sotiraq Lako, më 05 May 2024 në 10:23

Pershendetje doktor, kam ca kohe qe me dalin mavijosje te pashpjegueshme vetem te kembet, te cilat nuk i kam pasur me perpara. Marrin kohe rreth dy jave per tu zhdukur. Kam bere gjak komplet te ne vlera normale.
Ferritinemi 37.86 / Sideremi 99.33
Vitamin D 16.23 / Inr 1.5 me kohe PT 16 sekonda. Creatinemia 0.55 / Azotemia 35.73 Mavijosjet i kam vene re pasi kam filluar mjekimin me letrox sepse kam dale me Hashimoto. Ju faleminderit

Sent by Ida, më 27 March 2024 në 18:17

Pershndetje Ida, tek femrat dalin shpesh te tilla. Fortesia e vazave te gjakut jane me te dobeta se tek meshkujt. Nuk sjellin shqetesime per shendetin, pervec anes estetike. Nuk ka mjekim.

Replay from Dr. Shk. Sotiraq Lako, më 05 May 2024 në 10:26

Pershendetje Doktor. Shpresoj te jeni mire. Une jam Anisa, 38 vjec, nga Lushnja dhe doja tju pyesja ne lidhje me anemine. Bera analizat per kontroll dhe me dolen keto rezultate:
WBC 8.9
LYM 2.2
MON 0.5
GRA 6.2
LYM% 24.8
MON% 5.2
GRA% 70.0
RBC 6.34
HGB 13.1
HCT 40.1
MCV 63.2
MCH 20.7
MCHC 32.7
RDWC 20.2
PLT 341
MPV 11.1

Ferritinemi 22.37, Glicemia Esell 90.9.

Gjithmone kam pasur pak predispozite per anemi. Ju lutem ne baze te keture rezultateve cfare me sygjeroni te perdor dhe per sa kohe. Faleminderit,

Sent by Anisa, më 03 April 2024 në 11:42

Pershendetje Anisa, probablisht keni Talasemia Minor. Do te beni ferritinemia dhe elektroforeza e hemoglobines.

Replay from Dr. Shk. Sotiraq Lako, më 05 May 2024 në 10:48

Pershendetje Dokotro. Une jam Lira 35 vjece. Para 2 muaj kam bere analizat e gjakurt dhe te hekurit ku dola goxha anemike me keto rezultate:
WBC 4.42
RBC 4.22
HBG 7.2
MCV 62.8
MCH 17.1
MCHC 27.2

Ferritina 2.94. Po ndjek nje kure me Ferrosanol Duodenal, 2x1 ne dite per 3 muaj. Persa i perket dietes ushqimore rekomandoni me mire te perdor melcite e kuqe te vicit apo duhet perdor me mire thjesht mishin e kuq? Faleminderit,

Sent by Lira, më 03 April 2024 në 11:56

Pershendetje Lira, mjekimi i rekomanduar eshte ai i duhuri. Per mecine dhe mishin nuk kam asnje rekomandim, se nuk bejne asnje pune.

Replay from Dr. Shk. Sotiraq Lako, më 05 May 2024 në 10:50

Pershendetje Doktor. Shpresoj te jeni mire. Une jam Anisa, 38 vjec, nga Lushnja dhe doja tju pyesja ne lidhje me anemine. Bera analizat per kontroll dhe me dolen keto rezultate:
WBC 8.9
LYM 2.2
MON 0.5
GRA 6.2
LYM% 24.8
MON% 5.2
GRA% 70.0
RBC 6.34
HGB 13.1
HCT 40.1
MCV 63.2
MCH 20.7
MCHC 32.7
RDWC 20.2
PLT 341
MPV 11.1

Ferritinemi 22.37, Glicemia Esell 90.9.

Gjithmone kam pasur pak predispozite per anemi. Ju lutem ne baze te keture rezultateve cfare me sygjeroni te perdor dhe per sa kohe. Faleminderit,

Sent by Anisa, më 03 April 2024 në 12:02

Pershendetje Anisa, probablisht keni Talasemia Minor. Do te beni ferritinemia dhe elektroforeza e hemoglobines.

Replay from Dr. Shk. Sotiraq Lako, më 05 May 2024 në 10:49

Me ka bere shume pershtypje niveli profesional i Dr Lakos. Per me teper, jam vizituar tek ai me ka kushtuar kohe per te me sqaruar llojen e anemise, menyren e mjekimit,si dhe ndikimin e cdo medikamenti ne organizem. Edhe ne klinika shume te specializuara dhe me pagesa shume te larta nuk kam marre nje sherbim kaq profesional.

Sent by Zhaneta dhiamandi, më 05 April 2024 në 15:29

Faleminderit Zhaneta.

Replay from Dr. Shk. Sotiraq Lako, më 05 May 2024 në 10:45

Doktor ju uroj shëndet dhe falenderoj për përkushtimin.

Jam shtatzane në muajin e 5 dhe dok. gjinekologe kur fillova shtatzaninë me hemoglobinë 11 nuk më mjekoi, çdo muaj kjo vlerë ulej dhe tani jam me 7 kam 1 muaj që e mjekoj dhe kaloi te 8 por kur kalova një gjëndje fibrile shkoi te 7 sërish brënda natës. Aktualisht jam me hgb 8, eritrocite 3.73,hct 28.6. Trombocite 614. Kolesterol 261 dhe Trigliceride 168 si dhe pcr 24, tsh 24 Mjekohem me 2 ampoula tot-hem dhe Sideral folik dhe zevo lux nga 1 ne ditë. Çfarë më sygjeroni mos duhet të vij nga afër për konsultë?

Sent by Sara, më 11 April 2024 në 07:05

Pershendetje Sara, nu ke di sa eshte aktualisht hemoglobina, ferritinemia dhe cfare mjekimi merrni ? Nese nuk e keni zgjidhur mund te vini.

Replay from Dr. Shk. Sotiraq Lako, më 05 May 2024 në 10:43

Pershendetje doktor,
Kam humbur bebin ne muajin e 8 te shtatzanise, dmth vdekje ne miter, e pas kesaj kam bere analizen e panelit te trobofilise. Sipas analizes del qe kam trombofiline. Cafre duhet te beje per planifikimin e shtatzanise se radhes.
Faleminderit nese gjeni kohe te me pergjigjeni

Sent by Shqipe, më 11 April 2024 në 15:19

Pershendetje Shqipe, Trombofilia eshte nje teme delikate, qe kerkon nje anamneze shume te kujdeshme. Duhet te diskutohet me specialistin drejteperdrejte.

Replay from Dr. Shk. Sotiraq Lako, më 05 May 2024 në 10:35

Pershendetje doktor. Jam ne javen e 15 te shtatzanise dhe bera nje analize te specializuar te panelit te trombofilise e cila u vonua 3 jave. Ne pergjigjen e saj citoj se Mutacionet e ketij paneli tregojne qe ajo eshte bartese per disa prej tyre si: mutacioni H1299R, mutacioni c.803T>C (varT/varC), A1166C (varA/varC). Ne mutacionet si: C677T i gjenit te MTHFR, Val34Leu (varG/varG), T1565C (varT/varT) dhe G455A (varA/varA) ajo shfaqet ne variant te mutuar. Gjate ekspozimit me faktoret e jashtem sekondare si prsh shtatzania, terapia me vitamina apo medikamente te tjera pacientja paraqet nje risk. Sipas kesaj analize dhe konsultimit me nje mjek hematolog pacientja duhet qe te perdore hollues gjakut ne rast bashkeveprimi me nje nga faktoret e jashtem sekondare. Analiza tregon nje predispozite gjenetike, pra jo domosdoshmerisht ajo do zhvilloje semundje kardiovaskulare. Do doja te dija si te veproja ne kete rast?

Sent by Enxhi, më 13 April 2024 në 13:50

Pershendetje Enxhi, Trombofilia eshte nje teme delikate, qe kerkon nje anamneze shume te kujdeshme. Duhet te diskutohet me specialistin drejteperdrejte.

Replay from Dr. Shk. Sotiraq Lako, më 05 May 2024 në 10:33

Doktor, ju pershendes!
Shkurtimisht historiku im me ferritinen eshte: para nja dy vjetesh konstatova me analize nje ferritine 3.7 dhe fillova te merrja suplemente e rrita 5.7 deri ne 9.3. Fillova te ndihesha pak me mire dhe me thane se hekuri nuk eshte mire te pihet ne sezonin e veres dhe me shume se 3 muaj. E lashe per njefare kohe, po nderkohe me ndryshoi cikli menstrual te cilin e kisha te rregulls dhe me nje kohezgjatje dhe sasi normale. Ai mu be me nje fluks te shtuar. Mas ferritinen e cila me kish rene perseri dhe bera nje analize fece okult e cila me doli shume mire per te perjashtuar kete shkak per anemine time. Dhe origjina e anemise ngeli per problemet gjinekologjike qe konstatova (fibroza nje term i afert me kete qe shkakton gjakrrjedhje te shtuar gjate ciklit menstral). Gjithsesi ne dhjetor mora suplement hekuri ne menyre venoze dhe e cova ferritinen 22.3. Nga monitorimi ne janar me vajti 15.4, ndersa tani ne 6 prill e kam 5.39. Nga ekzaminimi i gjakut komplet rezultoi:
Eritrocitet 4400000
Hematokriti 35
MCV 80
Hemoglobina ne gr 11.4
Hemoglobina ne % 71
Permb. Mesat. Hemoglob. Globulare 26%
Permb MCHC 33%
Leukocitet 5500
Trombocitet 524000
Raport Trombocit me volum>12 fL 21
Trombocitokriti 0,5
te tjerat granulocitet, limfocitet dhe mnocitet jane ne norme

V,E.S
Ora e pare 20
Ora e dyte 42
Treguesi i KATZ-it 20

Shqetesimi im sot eshte se une kam nje jave qe fillova nje suplement hekuri qe ma sollen nga Greqia Fero-Folic-500 (Ferrous Sulfate, Folic Acid) ta pija esell qe te perthithej me mire dhe te haja mbas nje ore. Por kam vene re se kur defektoj ne disa raste fecja eshte e erret dhe e di qe eshte normale kur pi hekurin, po kur kam dal dicka me kompakte afer ndjesise se kapsllekut (pavaresisht se une nuk kam patur asnjehere probleme me kapsllekun, dal jasht rregullisht cdo dite) kam vene re ne ngyre si gjakrrjedhje.Cfare te bej ne kete situate? Sepse une e nderpreva hekurin me friken se mos me shk

Sent by Miranda, më 16 April 2024 në 23:18

Pershendetje Miranda, ne Greqi, do te perdorni, Ferro Sanol Duodenal, 100 mg 2 here ne dite, per te pakten 3 muaj rresht. Mungesa e hekurit eshte ankese e femrave ne periudhen riprodhuese dhe jo e meshkujve, pra lidhet me humbjen e perseritur te gjakut me ciklin menstrual. Eshte nje problem per permiresohet/korrigjohet, por dhe perseritet, perserisa nuk eleminohet shkaku.

Replay from Dr. Shk. Sotiraq Lako, më 05 May 2024 në 10:31

Pershendetje doktor!
Vlerat sipas checkup (ne shtet) gjak komplet jane keto:
WBC 5.86
RBC 4.01
HGB 10.5
HCT 32.9
MCV 82.0
MCH 26.2
MCHC 31.9
PLT trombocite)320
LYM% 34.8
MONO% 5.10
EO. % 1.40
BASO % 1.20
NEUT % 57.5
LYM.2.04
RDW-CV 13.9
PDW 16.7
MPV 12.60
PCT 0.400
Ju falenderoj paraprakisht!

Sent by Anisa, më 01 May 2024 në 17:32

Pershendetje Anisa, ju keni nej anemi te lehte. Do te beni, Ferritinemia.

Replay from Dr. Shk. Sotiraq Lako, më 05 May 2024 në 10:16

Prsh doktor si jeni? Bera analizat e gjakut dhe mora kete rezultatin qe monocitet dhe eosonofilet jane 62 % dhe limfocitet 43% si kane dale jane normale ?? Faleminderit !!

Sent by Mirela, më 13 May 2024 në 17:58

Pershendetje Mirela, mund ti shkruash dhe njehere eozinofilet dhe monocotet.

Replay from Dr. Shk. Sotiraq Lako, më 14 May 2024 në 18:13

Prsh doktor si jeni? Bera analizat e gjakut dhe mora kete rezultatin qe monocitet dhe eosonofilet jane 62 % dhe limfocitet 43% si kane dale jane normale ?? Faleminderit !!

Sent by Mirela, më 13 May 2024 në 20:15

Pershendetje Mirela, mund ti shkruash dhe njehere eozinofilet dhe monocotet.

Replay from Dr. Shk. Sotiraq Lako, më 14 May 2024 në 18:12

Prsh doktor,ka gati dy vite qe me jan shfaqur gjendrrat limfatike ne sqetull mas 6 muajve mu shfaqen edhe ne qafe kam bo eko si te qafes si gjoksit kan dal qe jan reaktive, mir po para 6 muajve kam bo eko gjirit nen sqetullen e djatht e kisha pas 12mm mjeku me tha sjan asgje amo tash ne qaf ndoshta edhe tu i prek pom doket qe ka nis mu bo taman kokerr kshtu sa lajthia me thon me thoni si te veproj gjitha analizat qe mi kan rekomandu me jan dal okeii amo friksohwm se mbase gjitha ketyre fshihet ndonje gje e keq me fal se e zgjata.

Sent by G.D, më 19 May 2024 në 00:09

Pershendetje, mund te shkoni tek hemtologu per ti vleresuar. Ekografia eshte e rendesishme dhe nese vleresohen reaktive eshte per tu gezuar.

Replay from Dr. Shk. Sotiraq Lako, më 19 May 2024 në 17:55

Pershendetje doktor,
Ju kam shkruar me pare per ate problemin me mavijosjet e shpeshta qe me dalin pa shkak. Ndoshta vij te spitali Amerikan per nje konsulte me ju, per ta pare problemin nga afer. Ma shpjeguat shume qarte qe te femrat ndodh shpesh si fenomen pa ndonje arsye. Duke qene se une jam pak meraklie, me kane filluar edhe te krahet nga pak te vogla( sapo dalin kane ngjyre te verdhe) riperserita edhe njehere gjak komplet edhe ferritinen. Keto jane vlerat :
Leukocite 6.9 10³ųL
Neutrofile 3.4
Limfocite 2.8
Monocite 0.4
Eozinofile 0.2
Bazofile 0.10
Neutrofile 49.6 %
Limfocite 40.6
Monocite 5.8
Eozinofile 3.2
Bazofile 0.8
Eritrocite 4.65 10⁶ųl
Hemoglobina 13.5 g/dl
Hematokriti 38.1
MCV 81.9 fl ( kam pershtypjen se kjo eshte gati ne kufi me vleren e ulet normale 81-100) apo gaboj
MCH 28.9 pg
MCHC 35.4 g/dl
RDWsd 37 fl
RDWcv 12.4. %
Trombocite 174 10³ųL
MPV 9.5 fl
Eritrosendimenti 2
Ferritin 30.6 ng/ml vlera normale 11-307
Ju faleminderit serish per pergjigjen tuaj.

Sent by Ida, më 22 May 2024 në 16:42

Pershendetje Ida, keni vlera normale.

Replay from Dr. Shk. Sotiraq Lako, më 25 May 2024 në 13:22

Pershendetje doktor
Hemoglobine 17.1
Hematocrit 52.9
Pct. 0.39
Eosinophilis 3.1
Kam marramendje , mkap nganjeher nga syt si shkarkim eletrik , pastaj fillon dhimbja e fort e kokes ,sa her bei dush me uje te nxehte me kruhet trupi , te lutem mund tme japesh nje sqarim

Sent by Viktor, më 26 May 2024 në 02:08

Pershendetje Viktor, nje rritje e lehte e hemoglobines. Per vleresimin e duhur do te diskutoni me mjekun hematolog.

Replay from Dr. Shk. Sotiraq Lako, më 26 May 2024 në 13:08

Pershendetje dr Raqi.Jam 32 vjece, bera disa analiza dhe vlerat jane si me poshte:

Ferritine 12.20
Eritrocite 4.10
Hematokrit 35.60
Hemoglobina 12.20
Glicemi esell 100

Mjekohem me concor sepse vuaj nga takikardia (rrahje qe me shkojne 175).
Ju lutem cfare me keshilloni? Nuk kam simptoma te tjera te shprehura.

Sent by xhuli, më 03 June 2024 në 13:58

Pershendetje Xhuli, ju keni vetem mungese te hekurit, qe duhet ta korrigjoni me preparate te hekurit, per 1.5 deri 2 muaj mjekim.

Replay from Dr. Shk. Sotiraq Lako, më 03 June 2024 në 17:04

Pershendetje dr Raqi.Jam 32 vjece, bera disa analiza dhe vlerat jane si me poshte:

Ferritine 12.20
Eritrocite 4.10
Hematokrit 35.60
Hemoglobina 12.20
Glicemi esell 100

Mjekohem me concor sepse vuaj nga takikardia (rrahje qe me shkojne 175).
Ju lutem cfare me keshilloni? Nuk kam simptoma te tjera te shprehura.

Sent by xhuli, më 03 June 2024 në 14:00

Pershendetje Xhuli, ju keni vetem mungese te hekurit, qe duhet ta korrigjoni me preparate te hekurit, per 1.5 deri 2 muaj mjekim

Replay from Dr. Shk. Sotiraq Lako, më 03 June 2024 në 17:05

Pershendetje dr Raqi.Jam 32 vjece, bera disa analiza dhe vlerat jane si me poshte:

Ferritine 12.20
Eritrocite 4.10
Hematokrit 35.60
Hemoglobina 12.20
Glicemi esell 100

Mjekohem me concor sepse vuaj nga takikardia (rrahje qe me shkojne 175).
Ju lutem cfare me keshilloni? Nuk kam simptoma te tjera te shprehura.

Sent by xhuli, më 03 June 2024 në 14:00

Pershendetje Xhuli, ju keni vetem mungese te hekurit, qe duhet ta korrigjoni me preparate te hekurit, per 1.5 deri 2 muaj mjekim

Replay from Dr. Shk. Sotiraq Lako, më 03 June 2024 në 17:05

Pershendetje dr Raqi.Jam 32 vjece, bera disa analiza dhe vlerat jane si me poshte:

Ferritine 12.20
Eritrocite 4.10
Hematokrit 35.60
Hemoglobina 12.20
Glicemi esell 100

Mjekohem me concor sepse vuaj nga takikardia (rrahje qe me shkojne 175).
Ju lutem cfare me keshilloni? Nuk kam simptoma te tjera te shprehura.

Sent by xhuli, më 03 June 2024 në 14:03

Pershendetje Xhuli, ju keni vetem mungese te hekurit, qe duhet ta korrigjoni me preparate te hekurit, per 1.5 deri 2 muaj mjekim

Replay from Dr. Shk. Sotiraq Lako, më 03 June 2024 në 17:05

Pershendetje dr Raqi.Jam 32 vjece, bera disa analiza dhe vlerat jane si me poshte:

Ferritine 12.20
Eritrocite 4.10
Hematokrit 35.60
Hemoglobina 12.20
Glicemi esell 100

Mjekohem me concor sepse vuaj nga takikardia (rrahje qe me shkojne 175).
Ju lutem cfare me keshilloni? Nuk kam simptoma te tjera te shprehura.

Sent by xhuli, më 03 June 2024 në 14:08

Pershendetje Xhuli, ju keni vetem mungese te hekurit, qe duhet ta korrigjoni me preparate te hekurit, per 1.5 deri 2 muaj mjekim

Replay from Dr. Shk. Sotiraq Lako, më 03 June 2024 në 17:05

Pershendetje Dr. Raqi,
Bashkeshortit tim, mosha 68 vjec, i kane dale keshtu analizat:
Leukocite 6.80
Eritrocite 8.95
HGB 18.2
HCT 56.5
MCV 63.1
MCH 20.3
MCHC 322,
Trombocite 133
LYM% 15.3
Mono% 8.10
EO% 1.60
BASO% 0.10
Neut% 74.9
LYM 1.04
MONO 0.550
EO 0.110
BASO 0.010
NEUT 5.09
RDW-CV 19.9
PDW 13.3
MPV 10.10
PCT 0.130

Shenime : Trombocite ne lame 227.600/mm3. Verehet ndonje grup me trombocite
I konfifmuar me elektroforeze hgb me Thalasemi Minor.

Ju lutem cfare me keshilloni? Sa urgjente mund te jete konsulta pasi per 2 jave nuk ndodhet ne Tirane.
Ju faleminderit

Sent by Sofija, më 04 June 2024 në 13:43

Pershendetje Sofija, bashkeshorti do te konsultohet me hematologun.

Replay from Dr. Shk. Sotiraq Lako, më 04 June 2024 në 17:19

Pershendetje Dr. Raqi,
Bashkeshortit tim, mosha 68 vjec, i kane dale keshtu analizat:
Leukocite 6.80
Eritrocite 8.95
HGB 18.2
HCT 56.5
MCV 63.1
MCH 20.3
MCHC 322,
Trombocite 133
LYM% 15.3
Mono% 8.10
EO% 1.60
BASO% 0.10
Neut% 74.9
LYM 1.04
MONO 0.550
EO 0.110
BASO 0.010
NEUT 5.09
RDW-CV 19.9
PDW 13.3
MPV 10.10
PCT 0.130

Shenime : Trombocite ne lame 227.600/mm3. Verehet ndonje grup me trombocite
I konfifmuar me elektroforeze hgb me Thalasemi Minor.

Ju lutem cfare me keshilloni? Sa urgjente mund te jete konsulta pasi per 2 jave nuk ndodhet ne Tirane.
Ju faleminderit

Sent by Sofija, më 04 June 2024 në 13:44

Pershendetje Sofija, bashkeshorti do te konsultohet me hematologun. Pershendetje Sofija, bashkeshorti do te konsultohet me hematologun.

Replay from Dr. Shk. Sotiraq Lako, më 04 June 2024 në 17:20

Pershendetje Dr. Raqi,
Bashkeshortit tim, mosha 68 vjec, i kane dale keshtu analizat:
Leukocite 6.80
Eritrocite 8.95
HGB 18.2
HCT 56.5
MCV 63.1
MCH 20.3
MCHC 322,
Trombocite 133
LYM% 15.3
Mono% 8.10
EO% 1.60
BASO% 0.10
Neut% 74.9
LYM 1.04
MONO 0.550
EO 0.110
BASO 0.010
NEUT 5.09
RDW-CV 19.9
PDW 13.3
MPV 10.10
PCT 0.130

Shenime : Trombocite ne lame 227.600/mm3. Verehet ndonje grup me trombocite
I konfifmuar me elektroforeze hgb me Thalasemi Minor.

Ju lutem cfare me keshilloni? Sa urgjente mund te jete konsulta pasi per 2 jave nuk ndodhet ne Tirane.
Ju faleminderit

Sent by Sofija, më 04 June 2024 në 13:44

Pershendetje Sofija, bashkeshorti do te konsultohet me hematologun.

Replay from Dr. Shk. Sotiraq Lako, më 04 June 2024 në 17:19

Pershendetje doktor
Ju falenderoj per pergjigjen e dhene por nuk munda te pergjigje mbi komentin tuaj. Por rishkruaj dhe njehere se bashku me vleren e hemoglobines ne analizen e se njestes periudhe:
Hemogrlobina e Elektroforezes me ka dale dyshimte per talasemi minor ne vlera:
HbA 96.7
HbA2 3.3

Analizat e gjakut komplet:
RBC 4
Hematocrit 34.8
Henoglobine 12
MCV 87

Ferritina 81.97.

Keto vlera kam patur rreth javes se 6 te shtatezanise.
Faleminderit paraprakisht!

Sent by Ina, më 06 June 2024 në 00:12

Pershendetje, vlera normale.

Replay from Dr. Shk. Sotiraq Lako, më 06 June 2024 në 13:36

Pershendetje doktor ,kam bere analizat e gjakut dhe kam keto rezultate
acid urik 7.42
SGPT 208 dhe SGOT 98
Cfare me sugjeroni?

Sent by Ledi, më 07 June 2024 në 17:13

Pershendetje Ledi, do te diskutoni me mjekun hepatolog.

Replay from Dr. Shk. Sotiraq Lako, më 12 June 2024 në 16:52

Pershendetje doktor ,kam bere analizat e gjakut dhe kam keto rezultate
acid urik 7.42
SGPT 208 dhe SGOT 98
Cfare me sugjeroni?

Sent by Ledi, më 07 June 2024 në 17:20

Pershendetje Ledi, do te diskutoni me mjekun hepatolog.

Replay from Dr. Shk. Sotiraq Lako, më 12 June 2024 në 16:52

Pershendetje doktor ,kam bere analizat e gjakut dhe kam keto rezultate
acid urik 7.42
SGPT 208 dhe SGOT 98
Cfare me sugjeroni?

Sent by Ledi, më 08 June 2024 në 00:54

Pershendetje Ledi, do te diskutoni me mjekun hepatolog.

Replay from Dr. Shk. Sotiraq Lako, më 12 June 2024 në 16:52

Pershendetje doktor ,kam bere analizat e gjakut dhe kam keto rezultate
acid urik 7.42
SGPT 208 dhe SGOT 98
Cfare me sugjeroni?

Sent by Ledi, më 08 June 2024 në 00:55

Pershendetje Ledi, do te diskutoni me mjekun hepatolog.

Replay from Dr. Shk. Sotiraq Lako, më 12 June 2024 në 16:52

Mirmbrema doktor jam nje zonje qe jetoj ne itali hekuri me Ka dal ulet Jo shum me Thot doktori i familjes po me Kan dal Pak me te larta se normative Beta 1 edhe Beta #1 edhe Beta#2 edhe albumina . A Kan lidhje me anemin Keto qe me Kan dal te larta . Theksoj se vuaj edhe nga teroidja hashimoton .po' nuk e kuroj
Shum faleminderit ne me kthen pergjigje jam ne merak te madh
Te uroj shendet edhe gjithe te mirat

Sent by Silvana , më 09 June 2024 në 22:10

Pershendetje Silvana, jo nuk kane lidhje me anemine.

Replay from Dr. Shk. Sotiraq Lako, më 12 June 2024 në 16:53

Pershendetje doktor ,kam bere analizat e gjakut dhe kam keto rezultate
acid urik 7.42
SGPT 208 dhe SGOT 98
Cfare me sugjeroni?

Sent by Ledi, më 10 June 2024 në 09:28

Pershendetje Ledi, do te diskutoni me mjekun hepatolog.

Replay from Dr. Shk. Sotiraq Lako, më 12 June 2024 në 16:53

Pershendetje doktor ,kam bere analizat e gjakut dhe kam keto rezultate
acid urik 7.42
SGPT 208 dhe SGOT 98
Cfare me sugjeroni?

Sent by Ledi, më 10 June 2024 në 09:29

Pershendetje Ledi, do te diskutoni me mjekun hepatolog.

Replay from Dr. Shk. Sotiraq Lako, më 12 June 2024 në 16:54

Pershendetje doktor si jeni?
Kam bere analiza dhe me kane dale keto vlera:RBC 4.81,Hgb 13.6,Hct 39.6%,MCV 82.4, Mch 28.3,MCHC 34.3,WBC 6.1 ,Neutrofile 3.3,limfocite 2.0,monocite 0.6,eosinofile 0.1,PLTs 254,PDW 12.7,MPV 11.6
Urea 25.6,kreatinina 0.62,bilirubina direkte 0.73,albumina 5.3,LDH 224,
Ndersa ferritina me ka dale 6.82
Para 2 vitesh kam marr trajtim me heferol per 3 muaj
Mund te me ndihmoni se cfare te marr ?
Ju faleminderit!

Sent by Arta, më 11 June 2024 në 17:29

Pershendetje Arta, ju keni vetem mungese te hekurit. Mund ta perdorni Heferolin 2 here ne dite, plus Vitamina C per 2 muaj rresht. Rikontroll pas mjekimit me gjak komplet hde ferritinemia.

Replay from Dr. Shk. Sotiraq Lako, më 12 June 2024 në 16:51

Pershendetje doktor si jeni?
Kam bere analiza dhe me kane dale keto vlera:RBC 4.81,Hgb 13.6,Hct 39.6%,MCV 82.4, Mch 28.3,MCHC 34.3,WBC 6.1 ,Neutrofile 3.3,limfocite 2.0,monocite 0.6,eosinofile 0.1,PLTs 254,PDW 12.7,MPV 11.6
Urea 25.6,kreatinina 0.62,bilirubina direkte 0.73,albumina 5.3,LDH 224,
Ndersa ferritina me ka dale 6.82
Para 2 vitesh kam marr trajtim me heferol per 3 muaj
Mund te me ndihmoni se cfare te marr ?
Ju faleminderit!

Sent by Arta, më 11 June 2024 në 17:31

Pershendetje Arta, ju keni vetem mungese te hekurit. Mund ta perdorni Heferolin 2 here ne dite, plus Vitamina C per 2 muaj rresht. Rikontroll pas mjekimit me gjak komplet hde ferritinemia.

Replay from Dr. Shk. Sotiraq Lako, më 12 June 2024 në 16:51

Pershendetje doktor, jam 35 vjec kam kryer analizat gjak komplet , ferritine dhe D3. me kane dale disa rezultate mbi/nen norme:
Monocytes 9.3
MCV 83.7
PLT 408
PCT 0.41
Vitamin D 15.3 ng/mL
Ferritin 17.62 ng/mL
Ju lutem cfare me keshilloni?
Faleminderit paraprakisht.

Sent by ola, më 12 June 2024 në 13:54

Pershendetje Ola, ju keni Deficiti te Heurit dhe Vitamines D. per te cilat duhet te merrni mjekim.

Replay from Dr. Shk. Sotiraq Lako, më 12 June 2024 në 16:50

Pershendetje doktor. Djali 8 muajsh ka 2 jave qe ben temperature te nderprere, 1 dite po 1 dite jo. Me pak se 38.5 dhe i bie pas disa minutash. Mbreme temp ishte 39.6. Analizat e sotme te gjakut jane pcr 44.2 mg/L, WBC 16.46, NEU 9.69, LYM 5.63, Mon 0.84 (10^9),HGB 9,8 g /dl, PLT 632 (10^3), MPV 6%, PDWs 15,6 fl,PDWc 38.7%, PLCC 142, eritrosedimenti 35 mm /h. Ku duhet te drejtohemi apo mjafton pediatri? Ju falenderoj paraprakisht doktor

Sent by Gena, më 14 June 2024 në 15:49

Pershendetje doktor.jam 38 vjec.analizat qe bera ishin brenda normave perveç lym% 48.3 qe e kisha mu duke me e larte se maksimalja qe thosh 44.eshte per tu shqetesuar apo eshte ne rregull dhe kjo,theksoj gjithe te tjerat i kisha ne rregull

Sent by Bruno , më 09 December 2024 në 10:19

Pershendetje Bruno, vlerat qe ne perdorim jane 20 deri 50 % dhe ne vlere absolute me pak se 5000 mm3.

Replay from Dr. Shk. Sotiraq Lako, më 09 December 2024 në 12:41

Pershendetje doktor. kam bere analizat dhe me kane dale keto vlera. WBC 7.21, NEU 50.1%, LYM 37.6%, MONO 10.3%, BASO 0.1%,EOS 1.9%,RBC 5.04, HCT 34.3 %, HGB 11.6%,MCV 68.1,MCH 23, MCHC 33.8, RDW-SD 33.9,RDW-CV 14.5, PLT 303, PDW 20.4, Volumi mesatar trombocitar 12.4, P-LCR 43.2,PCT 0.38. Ferritina 41.18. 25-OH Vitamin D 23mg. Jam me talasemi minor. Para 1 Muaj jam semurur me grip po akoma nuk e kam marre veten plotesisht. Jam shume ne merak pasi disa nga keto vlerat jane jashte normave. Ju lutem me ndihmoni me vleresimin tuaj. Faleminderit

Sent by Olta, më 19 December 2024 në 15:26

Pershendetje Olta, keni vetem Talasemia Minor. Nuk ka nevoje per mjekim

Replay from Dr. Shk. Sotiraq Lako, më 19 December 2024 në 16:45

Pershendetje doktor. kam bere analizat dhe me kane dale keto vlera. WBC 7.21, NEU 50.1%, LYM 37.6%, MONO 10.3%, BASO 0.1%,EOS 1.9%,RBC 5.04, HCT 34.3 %, HGB 11.6%,MCV 68.1,MCH 23, MCHC 33.8, RDW-SD 33.9,RDW-CV 14.5, PLT 303, PDW 20.4, Volumi mesatar trombocitar 12.4, P-LCR 43.2,PCT 0.38. Ferritina 41.18. 25-OH Vitamin D 23mg. Jam me talasemi minor. Para 1 Muaj jam semurur me grip po akoma nuk e kam marre veten plotesisht. Jam shume ne merak pasi disa nga keto vlerat jane jashte normave. Ju lutem me ndihmoni me vleresimin tuaj. Faleminderit

Sent by Olta, më 19 December 2024 në 15:36

Pershendetje Olta, keni vetem Talasemia Minor. Nuk ka nevoje per mjekim

Replay from Dr. Shk. Sotiraq Lako, më 19 December 2024 në 16:46

Pershendetje doktor. kam bere analizat dhe me kane dale keto vlera. WBC 7.21, NEU 50.1%, LYM 37.6%, MONO 10.3%, BASO 0.1%,EOS 1.9%,RBC 5.04, HCT 34.3 %, HGB 11.6%,MCV 68.1,MCH 23, MCHC 33.8, RDW-SD 33.9,RDW-CV 14.5, PLT 303, PDW 20.4, Volumi mesatar trombocitar 12.4, P-LCR 43.2,PCT 0.38. Ferritina 41.18. 25-OH Vitamin D 23mg. Jam me talasemi minor. Para 1 Muaj jam semurur me grip po akoma nuk e kam marre veten plotesisht. Jam shume ne merak pasi disa nga keto vlerat jane jashte normave. Ju lutem me ndihmoni me vleresimin tuaj. Faleminderit

Sent by Olta, më 19 December 2024 në 15:58

Pershendetje Olta, keni vetem Talasemia Minor. Nuk ka nevoje per mjekim

Replay from Dr. Shk. Sotiraq Lako, më 19 December 2024 në 16:46

Pershendetje doktor. kam bere analizat dhe me kane dale keto vlera. WBC 7.21, NEU 50.1%, LYM 37.6%, MONO 10.3%, BASO 0.1%,EOS 1.9%,RBC 5.04, HCT 34.3 %, HGB 11.6%,MCV 68.1,MCH 23, MCHC 33.8, RDW-SD 33.9,RDW-CV 14.5, PLT 303, PDW 20.4, Volumi mesatar trombocitar 12.4, P-LCR 43.2,PCT 0.38. Ferritina 41.18. 25-OH Vitamin D 23mg. Jam me talasemi minor. Para 1 Muaj jam semurur me grip po akoma nuk e kam marre veten plotesisht. Jam shume ne merak pasi disa nga keto vlerat jane jashte normave. Ju lutem me ndihmoni me vleresimin tuaj. Faleminderit

Sent by Olta, më 19 December 2024 në 16:08

Pershendetje Olta, keni vetem Talasemia Minor. Nuk ka nevoje per mjekim

Replay from Dr. Shk. Sotiraq Lako, më 19 December 2024 në 16:45

Pershendetje doktor. kam bere analizat dhe me kane dale keto vlera. WBC 7.21, NEU 50.1%, LYM 37.6%, MONO 10.3%, BASO 0.1%,EOS 1.9%,RBC 5.04, HCT 34.3 %, HGB 11.6%,MCV 68.1,MCH 23, MCHC 33.8, RDW-SD 33.9,RDW-CV 14.5, PLT 303, PDW 20.4, Volumi mesatar trombocitar 12.4, P-LCR 43.2,PCT 0.38. Ferritina 41.18. 25-OH Vitamin D 23mg. Jam me talasemi minor. Para 1 Muaj jam semurur me grip po akoma nuk e kam marre veten plotesisht. Jam shume ne merak pasi disa nga keto vlerat jane jashte normave. Ju lutem me ndihmoni me vleresimin tuaj. Faleminderit

Sent by Olta, më 19 December 2024 në 16:17

Pershendetje Olta, keni vetem Talasemia Minor. Nuk ka nevoje per mjekim.

Replay from Dr. Shk. Sotiraq Lako, më 19 December 2024 në 16:45

Pershendetje Doktor,kam disa vite qe e kam ferritinen te ulet,edhe jam mjekuar disa here me hekur oral por e kam te veshtire ta suportoj nga stomaku.Me kane sugjeruar terapine venoze me hekur,kam pyet ne disa klinika te Tiranes por vura re qe kane cmime shume te ndryshme (nga 8500 lek seanca ne 2000 lek).Mund te me sugjeroni ndonje vend te besueshem per kete terapi.Ju faleminderit.

Sent by Stela, më 09 January 2025 në 12:27

Pershendetje Stela, eshte e veshtire ta shpjegosh mjekimin me preparate venoze te hekurit me email. Ka anet pozitive dhe negative. Si rregull ne e perdorim kur nuk ka rezultat mjekimi i marre nga goja dhe per kete duhet te marresh preparatin e duhur, dozen e duhur dhe kohezgjatjen e duhur, ose nuk perdoret dot mjekimi nga goja per shkak te efekteve anesore. Rendesi ka cili eshte shkaku i mungeses se hekurit. Zakonisht tek femrat qe kane menstruacione, eshte humbja e hekurit nga gjakderdhja e perseritur. Dhe nese kjo eshte e rendesishsme, si ta marresh hekurin nga goja si ta marresh me serum, ai njesoj me kalimin e kohes do te humbasi. Hekuri venoz ka efekte anesore dhe sigurisht qe ka dhe me shume kosto se mjekimi nga goja. Nese jeni ne Tirane, nuk jemi qendra qe perdorim me shume dhe prej shume kohesh mjekimin me preparate venoze te hekurit. Ka dy lloje Hekur me ampula 100 mg (Venofer, Ferrovin etj) dhe ne perdorim dhe preparatin Ferinject 500 mg. Doza e hekurit llogaritet ne varesi te vleres se hemoglobines dhe ferritinemise.

Replay from Dr. Shk. Sotiraq Lako, më 09 January 2025 në 13:56

Pershendetje Doktor,kam disa vite qe e kam ferritinen te ulet,edhe jam mjekuar disa here me hekur oral por e kam te veshtire ta suportoj nga stomaku.Me kane sugjeruar terapine venoze me hekur,kam pyet ne disa klinika te Tiranes por vura re qe kane cmime shume te ndryshme (nga 8500 lek seanca ne 2000 lek).Mund te me sugjeroni ndonje vend te besueshem per kete terapi.Ju faleminderit.

Sent by Stela, më 09 January 2025 në 12:47

Pershendetje Stela, eshte e veshtire ta shpjegosh mjekimin me preparate venoze te hekurit me email. Ka anet pozitive dhe negative. Si rregull ne e perdorim kur nuk ka rezultat mjekimi i marre nga goja dhe per kete duhet te marresh preparatin e duhur, dozen e duhur dhe kohezgjatjen e duhur, ose nuk perdoret dot mjekimi nga goja per shkak te efekteve anesore. Rendesi ka cili eshte shkaku i mungeses se hekurit. Zakonisht tek femrat qe kane menstruacione, eshte humbja e hekurit nga gjakderdhja e perseritur. Dhe nese kjo eshte e rendesishsme, si ta marresh hekurin nga goja si ta marresh me serum, ai njesoj me kalimin e kohes do te humbasi. Hekuri venoz ka efekte anesore dhe sigurisht qe ka dhe me shume kosto se mjekimi nga goja. Nese jeni ne Tirane, nuk jemi qendra qe perdorim me shume dhe prej shume kohesh mjekimin me preparate venoze te hekurit. Ka dy lloje Hekur me ampula 100 mg (Venofer, Ferrovin etj) dhe ne perdorim dhe preparatin Ferinject 500 mg. Doza e hekurit llogaritet ne varesi te vleres se hemoglobines dhe ferritinemise.

Konferenca "Trajtimi i Mielomës Multiple dhe Transplanti i Qelizave Burimore Hematopoietike - një	Korrik 2019	Spitali Amerikan
Konferenca e 2të e Mjekut të Përgjithshëm dhe të Familjes: “Anemia në Shërbimin Ambulator”,	Qershor 2019	Tirane, Shqiperi.
Konferenca e 6të Kombëtare e Shkencave Mjekësore: “Hematopoietic Stem and Progenitor Cells: concep	Maj 2019	Tirane, Shqiperi.
Kongresi Multidisiplinar IV Ndërkombëtar: “Hematopoietic Stem and Progenitor Cells: concepts, defi	Nentor 2018	Tirane, Shqiperi.
Kongresi Multidisiplinar IV Ndërkombëtar “Intensive care management of HELLP syndrome and acute re	Nentor 2018	Tirane, Shqiperi.
Kongresi Multidisiplinar III “Innovation in Medicine”: “Methotrexate-induced severe pancytopenia,	Nentor 2017	Tirane, Shqiperi.
Kongresi Multidisiplinar II “Fokus në Onkologji”: “A Review of Cancer Models. Genomic Instability	Nentor 2017	Tirane, Shqiperi.
Kongresi Multidisiplinar II “Fokus në Onkologji”: “Neutrophyl-lymphocyte and platelet-lymphocyte r	Shtator 2016	Tirane, Shqiperi.
Kongresi Multidisiplinar I “Edukimi në Vazhdim përmes profesionistëve të Mjekësisë": “Ndryshimet H	Prill 2015	Tirane, Shqiperi.

Master of Science	June 2005	Faculty of Medicine	Master of Science with the topic "Early results of treatment with Gleevec in Chronic Myeloid Leukemia, in the chronic phase", organized by the Department of Internal Diseases of QSUT, Faculty
Qualification course "Hematologic Tumors" organized by Weill Cornell Medical College, rights	April 2012	Salzburg, Austria	Hematology, postgraduate
Observership in Oncology, First Department of Oncology and Hematology, Wilhelminenspital,	May 2012	Vienna, Austria	Hematologic Tumors
Doctor of Medical Sciences	07/05/2014	Tirana, Albania	Doctor of Medical Sciences, with the Thesis "Hematological Changes in Cardio-Vascular Surgery", organized by the Faculty of Technical Medical Sciences, University of Medicine, Tirana
Qualification course "Oncology of Solid Tumors - Breast and Gynecological Cancers" organized	September 2010	Salzburg, Austria	Qualification course "Oncology of Solid Tumors - Breast and Gynecological Cancers" organized by Weill Cornell Medical College, directed by Memorial Sloan-Kettering Cancer Center - USA
Qualification Course “Preventive and Diagnostic Oncology and Treatment of Tumors”	February - April 2001	Bari, Italy	Qualification course “Preventive and Diagnostic Oncology and Tumor Treatment”, organized by the CARSO Consortium (Preparatory Center for Oncological Scientific Research), Bari, Italy
Observership for Hematopoietic Stem Cell Transplantation	February 5-16	Florence, Italy	The Red Bone Marrow Transplant Center, Careggi University Hospital Center, with Mentor Prof. Stefano Guidi

Libri "Kimioterapia dhe Trajtimi Sistemik i Kancerit"	Shkurt 2008
Hematological Changes in Patients Undergoing Coronary Artery Bypass Surgery: a Prospective Study	2015	http://www.scopemed.org/?mno=191266&lng=en" hreflang="en http://www.scopemed.org/?mno=191266
The impact of blood use on patients undergoing coronary artery bypass surgery: a prospective study	2014	http://www.giornalechirurgia.it/index.php?PAGE=articolo_dett&ID_ISSUE=734&id_article=6335&lng=en" hreflang="en http://www.giornalechirurgia.it/index.php?PAGE=articolo_dett&ID_ISSUE=734&id_article=6335
β globin mutations in Turkish, Northern Iraqi and Albanian patients with β thalassemia major	2018	https://www.pagepressjournals.org/index.php/thal/article/view/7286
Libri “Destabiliteti Gjenetik dhe Epigjenetik, Onkogjeneza dhe Evolucioni Darvinian i Kancerit”	Maj 2019	Maj 2019

Hyperferritinemia	January 2020
Darwinian Evolution of Cancer	July 2017
Aspirin and blood thinning	October 2016
Anticoagulants and Antiplatelets	October 2016
Blood infection	October 2016
Leukemia	Agust 2015
Does blood change in spring?	June 2015	1 comments
Hemoglobinopathies	March 2015	2 comments
Peripheral blood analysis	January 2015
Anemia	December 2014
Hemostasis	June 2013	1 comments
Clinical consequences of iron deficiency	October 2012	5 comments
Anemia	September 2012	25 comments

Dr. Shk. Sotiraq Lako, Hematologists

Sent by Ledia Kashahu, më 26 October 2012 në 17:14

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