OpenHealth Q&A

It sounds like you are experiencing some concerning symptoms, including persistent itching, swelling in your legs and feet, and some abnormal findings in your blood tests. It’s understandable that you might feel anxious about these changes in your health, especially given your 22q11.2 syndrome.

Key Points

• Your symptoms, particularly itching and swelling, could have multiple causes, including issues related to blood disorders or underlying conditions.
• The test results showing low hemoglobin, polychromasia, teardrop cells, and giant platelets suggest that there may be an unusual response from your bone marrow or other underlying conditions that need further evaluation.
• Scheduling the ultrasound is a critical next step.

Explanation

1. Symptoms of Concern:

   • Itching: This could be linked to various factors, including allergies, liver function issues, or blood disorders.
   • Swelling: This can occur due to fluid retention or issues with your blood circulation or kidneys.

2. Blood Test Results:

   • Low Hemoglobin (161 g/L): While typically low hemoglobin indicates anemia, it's important to note that your value appears quite high in this case (possibly a typographical error), as normal female levels usually range between 120-160 g/L. Please confirm with your healthcare provider.
   • Polychromasia & Abnormal Cells: The presence of these cells suggests that your body might be responding unusually to an underlying issue, possibly related to your bone marrow function.

Next Steps

1. Monitor Symptoms: Keep a close eye on your itching and swelling. Note any changes or worsening in these symptoms and how they correlate with daily activities.

2. Stay Hydrated: Ensure you’re maintaining good hydration, as this can help manage swelling and support overall health.

3. Ultrasound Preparation: Confirm the scheduling of your right upper quadrant ultrasound. This test will help evaluate if there are any underlying issues related to your liver or other abdominal organs that might explain your symptoms.

4. Follow-Up: Ensure you have a follow-up appointment with your healthcare provider to discuss your blood test results, the implications of the abnormal findings, and how they relate to your symptoms. Bring up any new or worsening symptoms.

5. Consider Allergies: In the meantime, consider if any recent changes in your environment or diet might be contributing to the itching.

If you notice any severe symptoms, such as difficulty breathing, severe swelling, or sudden changes in your mental status, seek immediate medical attention. Take care, and keep track of your symptoms as you await further evaluations.