What Is The Initial Diagnosis Of These Symptoms? Should A Blood Test?

Illustration of What Is The Initial Diagnosis Of These Symptoms? Should A Blood Test?
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Good evening doctor. I am Lady, a student in Semarang. I have a girlfriend, she used to smoke and drink sometimes. But after getting to know me, it is no longer done. Occasionally smoking because of stress. But he has a disease, whether it’s because of that bad habit or not. what is clear is he often complains to me: n1. Anemia n2. Like migraines and headaches n3. Sometimes the right chest feels pain n4. Her breathing is not good, sometimes it feels like a person is struggling! And now it’s coughing up blood. N nWe want to do a blood check at the hospital but we are still having trouble with the costs. Do you think that’s why? Do you really have to check your blood as soon as possible? Thank you doctor.

1 Answer:

Hi MAria, Thank you for the question.


What complaint does your friend feel about anemia? Anemia is not a symptom. Have blood tests been done to confirm anemia? Anemia is a condition of low hemoglobin levels in the blood. Hemoglobin is a part of red blood cells whose job is to bind oxygen. Someone who has anemia will experience symptoms of weakness, pallor, dizziness, fatigue, chest pain, heart palpitations, shortness of breath, headache, cold hands and feet, insomnia. To make sure someone has anemia, a blood test is needed. Anemia itself can be caused by iron deficiency, vitamin B12 deficiency, folic acid deficiency, hemolytic anemia, sickle cell anemia, aplastic anemia, and others.


Migraine is a headache in one side of the head that feels throbbing. Migraine symptoms can vary in severity from person to person. In addition to headaches, sufferers will experience nausea, vomiting, and are more sensitive to light and sound exposure. The cause of migraines is not known with certainty but is related to genetic factors, chemical changes in the nervous system, consumption of certain foods and drinks (caffeine, chocolate, MSG, alcohol), hormonal factors (in women) stress, and fatigue.


On the other hand, complaints of chest pain, shortness of breath, and coughing up blood may be related to one another. These complaints can be caused by pneumonia, tuberculosis, bronchiectasis, bronchitis, throat cancer, lung cancer, and others.


Further examination by a doctor is needed to determine the cause of your friend's complaint. The doctor needs to ask more about his complaints and check with your friends. The doctor will also suggest further tests such as blood tests, sputum tests, X-rays, and others. Your friends can use the BPJS service if they experience financial problems.


Advise your friends to try to find migraine triggers, avoid foods and drinks that can trigger migraines. Your friend can take paracetamol to treat headaches. Also advise your friends to cover their mouths when coughing and avoid spitting up sputum in order to prevent transmission to others.


Hope this information is helpful.


Dr. Aloisia

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