Erythropoiesis

Erythropoiesis is the process by which red blood cells are produced. This process occurs in the bone marrow. When oxygen level in the blood reduces, the hormone erythropoietin stimulates proliferation and differentiation of the precursors of red cells.

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Please suggest a diet chart for thalassemia patient.

Query: Hi doctor, My brother is a thalassemia major subject. His age is 18 years and height is 5'4''. His hemoglobin is always maintained between 9 and 10 units. His weight is 38 now and drastically reducing. Nowadays he has been having headache and fever now and then. Sometimes he feels that his heartbeat...  Read Full »


Dr. Prakash H Muddegowda

Geriatrician, Hematologist, Pathologist

Answer: Hi, Welcome to icliniq.com. Based on your query regarding thalassemia, my opinion is as follows:1. Looking at a regular hemoglobin level of 9-10%, I would suggest you increase the levels. Maintaining at this level increases further erythropoiesis (production of red blood cells). Close to 12-13 g% ...  Read Full »

Is it possible to have low erythropoietin count and high RBC count together?

Query: Hello doctor, I am 27 years old male, 6 feet, and 180 lbs. I started a new job and the life insurance company wanted me to take a blood test. The results are attached. My blood test shows a low erythropoietin of 4.4 U/L (normal range 4.3 to 29) and high red blood cell count of 5.6x10^12/L (normal ...  Read Full »


Dr. Girish C Kamat

Internal Medicine Physician, Hematologist

Answer: Hello, Welcome to icliniq.com. Your hemogram and erythropoietin levels are normal. I would not evaluate you any further. They should not have asked for a hematology consultation, but if it is mandatory, get it done.  All the best and do well in your new job. For further queries consult a hematolog...  Read Full »

What is the reason for my decreasing hemoglobin levels?

Query: Hello doctor,I am a 31 year old female. My hemoglobin is going down after bone marrow aspiration and biopsy or due to the medicines I am taking. I am taking Wysolone 25 mg daily and Danazol 200 mg twice a day since 12 days.  Read Full »


Dr. Smrita Singh

Pathologist, Family Physician, General Practitioner, Hematologist

Answer: Hello, Welcome to icliniq.com. As per the reports (attachment removed to protect patient identity), only the serum ferritin levels are quite elevated along with reduced RBC count and hemoglobin levels. This picture is indicative of ineffective erythropoiesis which can be either due to a chronic inf...  Read Full »

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