instruction: hello doctor I am having too many health issues for the last three weeks I feel sleepy all the time even I sleep eight hours already I am feeling weak tiredness dizziness and headache on the right side of my head pressure and dullness my bowel habit changed to three to four times a day I have attached my blood work do you think I have any abnormality in blood do you think I am having a stroke or heart attack do I have too much thickness in blood as high hemoglobin and hematocrit do I have any kind of blood cancer like polycythemia or polycythemia vera in spite of having too much hemoglobin and platelets why am I having weakness do I need to take blood thinner medicine
output: hello welcome to the icliniq com hereby I am giving opinion regarding your case first let me know do you have any stress or anxiety issues as severe stress can lead to hyperventilation and dizziness stress can change bowel habits as well and it can lead to headaches as well if stress is present consult a psychiatrist for counseling and anti anxiety drugs if stress is not present then the causes for weakness are overexertion lack of exercise depression kidney problems for that urea creatinine investigation done myositis etc as for three weeks you are not improving you can be investigated with egg electromyography ekg electrocardiography investigation for further workup answers to your questions are as follows I do not think this blood report is abnormal it should be repeated as two weeks passed in stroke vision problem half part weakness slurred speech like problem present so the stroke chance is very less but ekg investigation can be done here as dizziness present since many times your he and hit are not much high that needs immediate concern I do not think it is polycythemia vera case repeat abc to check hit and rec value now for weakness rule out the above causes no ned of taking any blood thinner include green leafy vegetables and fruits more in your diet