EXPERT
Dr. David Dingli, M.D.
Hematologist-Oncologist
Dr. David Dingli is a hematologist oncologist practicing in Rochester, MN. Dr. Dingli specializes in the diagnosis, treatment and prevention of blood diseases such as anemia, hemophilia, sickle-cell disease, leukemia and lymphoma. Hematologist Oncologists are also trained in the study of cancer and its attack on other organs.
32 years
Experience
Dr. David Dingli, M.D.
- Rochester, MN
- Univ of Malta, Med Sch, Guardamangia, Malta
- Accepting new patients
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Can you live a long life with anemia?
Anemia requires an explanation. Is it due to bleeding, red cell destruction, or vitamin or iron deficiency, or other explanations? One has to understand why anemia is present and READ MORE
Anemia requires an explanation. Is it due to bleeding, red cell destruction, or vitamin or iron deficiency, or other explanations? One has to understand why anemia is present and treat it.
Is it alright to take Ibuprofen while taking blood thinners?
I would not take ibuprofen or other similar NSAIDS while on a blood thinner since this will increase the risk of bleeding significantly.
What are some symptoms of hemophilia?
The symptoms of hemophilia are bleeding in the skin, bleeding after minor trauma or surgery or bleeding into joints. Bleeding from the nose and in the stools are more typical of READ MORE
The symptoms of hemophilia are bleeding in the skin, bleeding after minor trauma or surgery or bleeding into joints. Bleeding from the nose and in the stools are more typical of low platelets or von Willebrand disease.
Is non-Hodgkin's lymphoma common in childhood?
There are various types of lymphoma and they can occur some of them can occur at any age. Although most tumors are rare in children some such as Burkitt lymphoma can occur in children. READ MORE
There are various types of lymphoma and they can occur some of them can occur at any age. Although most tumors are rare in children some such as Burkitt lymphoma can occur in children.
How quickly does chronic myeloid leukemia spread?
By definition CML is a systemic disease since it arises in the bone marrow that is in multiple areas of the body. Most patients at diagnosis are in chronic phase although there READ MORE
By definition CML is a systemic disease since it arises in the bone marrow that is in multiple areas of the body. Most patients at diagnosis are in chronic phase although there are various parameters that we look at to determine risk stratification. First like therapy is with a class of drugs known as tyrosine kinase inhibitors such as imatinib or nilotinib. Generally well tolerated, although they can cause some edema, rash, diarrhea and less commonly heart problems or pancreatic inflammation.
What is the treatment for lymphoma?
There is no universal answer to this question. Therapy depends on the type of lymphoma, its stage, and the functional state of the person and any comorbidities that the patient READ MORE
There is no universal answer to this question. Therapy depends on the type of lymphoma, its stage, and the functional state of the person and any comorbidities that the patient may have. It is difficult to be more specific in the absence of more information.
Can cancer spread from the blood to the organs?
Leukemic cells travel in the blood and they can in principle invade other tissues. Depending on the type of leukemia, the cells may go to the liver, spleen and/or lymph nodes or READ MORE
Leukemic cells travel in the blood and they can in principle invade other tissues. Depending on the type of leukemia, the cells may go to the liver, spleen and/or lymph nodes or even other organs. Leukemia is not one disease and it is difficult to be very specific unless has a detailed knowledge of the patient and her condition.
Gum issues with leukemia?
Gum issues may or may not be related to leukemia. It could just be poor mouth hygiene, or an infection with some viruses that can cause stomatitis. It could be due to medications READ MORE
Gum issues may or may not be related to leukemia. It could just be poor mouth hygiene, or an infection with some viruses that can cause stomatitis. It could be due to medications or the leukemia itself. The patient needs to be seen.
Is chemotherapy effective for lymphoma?
I am sorry to hear about this. Personally, I do not treat children with cancer but to my knowledge, lymphoma in children is treated with chemotherapy and it may be highly effective. READ MORE
I am sorry to hear about this. Personally, I do not treat children with cancer but to my knowledge, lymphoma in children is treated with chemotherapy and it may be highly effective.
Can leukemia cause a rash on the legs?
The rash could be due to low platelets that cause putouts typically on the legs especially shins. Purpura does not hurt or itch and if you press the lesions they do not disappear READ MORE
The rash could be due to low platelets that cause putouts typically on the legs especially shins. Purpura does not hurt or itch and if you press the lesions they do not disappear showing this is blood under the skin. Other causes of rash could be a drug effect or infection. Rarely leukemia can affect the skin and cause a rash but this would not be a common feature.
Hope this helps
Hope this helps
Can my body reject a platelet transfusion?
A person may have a reaction to a platelet transfusion with fever, chills, rash, or even shortness of breath. If the person has antibodies against platelets, the benefit of the READ MORE
A person may have a reaction to a platelet transfusion with fever, chills, rash, or even shortness of breath. If the person has antibodies against platelets, the benefit of the transfusion may be limited and the rise in the platelet count may be small and perhaps that is what is being asked here. However, there could be other reasons of why the platelet count does not improve after a platelet transfusion.
Hope this helps.
Hope this helps.
