How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Saha Your Own Question

Dr. Saha
Dr. Saha, Doctor (MD)
Category: Health
Satisfied Customers: 15793
Experience:  35 years of experience
8227957
Type Your Health Question Here...
Dr. Saha is online now
A new question is answered every 9 seconds

Over the last 12 months I have been getting more tired so have

Resolved Question:

Over the last 12 months I have been getting more tired so have had blood tests done which have all been ok except that my blood cells are becoming enlarged so I have been referred to the hospital where I have had a CT scan and a bone marrow test. The tiredness is constant and after sleeping well I wake up still tired but not sleepy. When we go out during the day I get so tired I have to come home. The tiredness makes me ach in my arms and legs and I have been getting episodes of becoming very hot (like in the change). My GP doesn't know why my cells are enlarged or if it is causing my tiredness. I go back for my results in a couple of weeks and am worried about the results but also what happens if they are ok but my blood cells carry on enlarging.
Submitted: 1 year ago.
Category: Health
Expert:  Dr. Saha replied 1 year ago.
Hello,

Welcome to Just Answer.

How is your hemoglobin level?

How are blood counts?

Did folic acid help?

Thank you.
Customer: replied 1 year ago.
My GP says my bloods are all normal even my vitamin B and I am not anemic. I was given the folic acid to see if it would help but it made no difference. I forgot to say that as I am coeliac she also did a blood antibody test for gluten which came back negative.
Expert:  Dr. Saha replied 1 year ago.
Did you have test for thyroid? liver?

Do you take any medicine?

How is your alcohol intake?

Are you overweight?
Customer: replied 1 year ago.
I dont know but I had nine tubes taken at the hospital on my first visit. I take enalapril and amlodopine for blood pressure and prescribed calcium/vitamin D. I very rarely drink just a glass of wine if eating out. I weigh ten stone and am 5 ft 5 ins. I have lost 10 kg since my last visit to my Gastric consultant in Jan 2012.
Customer: replied 1 year ago.
Sorry I meant 5 kg.
Expert:  Dr. Saha replied 1 year ago.
Thank you Monica, for the information,

Enlarged red cells can come from different causes.

It can be from deficiency states.

Deficiency of vitamin B12, folate can cause it.

You have tests for those already.

In celiac disease there can be malabsorption of nutrients causing weakness, loss of vitamins, folic acid.

In some cases it can come from medicine, alcohol but you are not taking alcohol that much.

Low thyroid state can cause weakness, fatigue.

In hypothyroidism there can be increased size of the cells.

You can discuss with doctor about it.

Liver or bone marrow disorders can also cause increase in size of red cells.

You had tests to see if there is any abnormality there..

Treatment will depend on finding out the precise cause.

If it is due to deficiency state, then replacement of the factor will correct it.

I hope this information helps.

I will be happy to assist, if you need any clarification.

Please feel free for any follow up query.

Best wishes.
Customer: replied 1 year ago.
What happens if no answer is found will the cells keep getting larger and if this is the cause of my tiredness?
Expert:  Dr. Saha replied 1 year ago.
I hope, the doctors will be able to find out the exact cause from all those tests.This can be a factor for weakness.Then they can treat it specifically.
Dr. Saha, Doctor (MD)
Category: Health
Satisfied Customers: 15793
Experience: 35 years of experience
Dr. Saha and 4 other Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery
 
 
 
Chat Now With A Health Professional
Dr. Saha
Dr. Saha
9247 Satisfied Customers
35 years of experience