instruction: hi doctor I am feeling dizziness and vomiting sensation for over one week rest everything is fine periods are normal and just had periods ten days back I just had my blood test done kindly advise the possible medication and preventive health care I am attaching my complete blood report
output: hi based on your query and attached report my opinion is as follows most of the values are borderline normal early iron deficiency anemia manifestations through low mav and mchc are present however iron levels are normal and should get corrected within two months hemoglobin being the lower limit of normal it should not be the cause of the symptoms being experienced at present vomiting and dizziness sensation appears to be possibly local cause like gastritis or gastric reflux esophagitis proton pump inhibitors like pantoprazole with domperidone should be helpful in curbing vomiting irritation in the stomach or esophagus is known to cause dizziness I hope there is no tarry or black color stools if present it indicates bleeding in the stomach you need to reduce stress eat regularly and avoid spicy foods sleep should be regular and proper avoid lying down immediately after food at least for two hours also you need to concentrate on nutrition to improve borderline values take protein rich diet with green leafy vegetables two egg whites and vitamin rich fruits should help in improvement also maintain good hydration with at least five to six liters of water per day avoid coffee or tea if possible as it can cause gastritis and also reduce iron absorption for now pantoprazole with domperidone should be helpful along with lifestyle changes as indicated above I hope this helps