Hemoglobin (Hb) is the protein found in the red blood cells, which are red cells found in the blood. Hemoglobin carries oxygen from the heart to other tissues and brings carbon dioxide from other tissues back to the heart.

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Why is the Hb reducing in beta thalassemia minor patient who is pregnant?

Query: Hi doctor, My wife is pregnant with twins, 24 weeks now. Her Hb levels never in her life had gone above 10. At the start of pregnancy, it was 8.5 but now it has touched 7.7. We did a serum ferritin test and her level was 50 (normal) which I guess means no iron deficiency. She is a beta thalassemia ...  Read Full »

Dr. Goswami Parth Rajendragiri

Answer: Hi,Welcome to icliniq.com.Thalassemia minor is hemoglobinopathy and so the hemoglobin level can never be above 12 in such a patient. In pregnancy, plasma is increased and so hemodilution can lead to more fall in hemoglobin levels in CBC. Orofer XT like an Iron tablet can be prescribed for such cases...  Read Full »

Hemoglobin and RBC count are high. What is the reason?

Query: Hello doctor,I had a blood test today and the results show hemoglobin is 18.05 and the RBC is 5.8 and hematocrit is 42 %. Should I be worried?  Read Full »

Dr. Goswami Parth Rajendragiri

Answer: Hi, Welcome to icliniq.com. Your hemoglobin and RBC are certainly high. So your diagnosis can be polycythemia. It can be secondary erythrocytosis for which you can investigate with EKG and chest X-ray to rule out the cardiac or respiratory cause. If you have any dehydration or prolonged fasting hi...  Read Full »

How to increase the hemoglobin level quickly?

Query: Hi doctor, My father is 62 years old. We need good medicine to increase his hemoglobin quickly. His CBC report has hemoglobin with 9.9 g/dL, WBC of 38000 WBC per microliter, and platelets of 1,90,000.  Read Full »

Dr. Goswami Parth Rajendragiri

Answer: Hi, Welcome to icliniq.com. I have gone through the attached report (attachment removed to protect patient identity). The hemoglobin level can be increased with Ferrous Ascorbate tablet along with good elemental iron. Take tablet Orofer (Ferrous Ascorbate with Folic Acid). Now moving on to the main ...  Read Full »

How to get rid of stomach worms?

Query: Hello doctor, My child is 6.5 years old. Recently, a worm came out of her mouth alive of about 2 to 3 inches long without vomit. Doctor gave her Bandy plus and told to repeat the dosage after 14 days. Please suggest whether it is a tapeworm. What are the investigations you would like to suggest for ...  Read Full »

Dr. Nagasirisha Naredla

Answer: Hello, Welcome to icliniq.com. Worms in tummy are quite common in children. Please give the medication as directed by your doctor. Most of the times it gets resolved. But, if it is persisting, then we may have to repeat the course or give alternate medicine.There are many kinds of worms and it would...  Read Full »

I am 33 weeks pregnant and I have bile acid levels of 7 μmol/L along with hemoglobin levels of 90 g/L. Kindy help.

Query: Hello doctor,I am 33 weeks pregnant and I have bile acid levels of 7 and hemoglobin levels of 90. If my levels decline will I be induced earlier?Kindly help.  Read Full »

Dr. Uzma Arqam

Answer: Hello, Welcome to icliniq.com. Thank you for your query. I understand your concern. If you have been suffering from itching in the palm of your hands, or the sole of your foot then it could be obstetrics cholestasis that needs strict monitoring of the fetus and mother's blood tests. Actually, thi...  Read Full »

My son's ferritin level is low. Can he take iron supplements?

Query: Hello doctor, I have a 16 year old son, he runs at the varsity level, for his high school, cross country, and track team. He is a distance runner. He recently had some blood tests done. His hemoglobin was 14.8 g/dL, hematocrit was 44.5 %, and ferritin was 23 ng/mL. I have been told by the team do...  Read Full »

Dr. Atul Prakash

Answer: Hello, Welcome to icliniq.com. I will second your pediatrician and reassure you that, iron is for hemoglobin synthesis, and as the amount of hemoglobin is fine and he is actively taking part in long-distance sports I will not supplement iron. If you are being pressurized then the best alterna...  Read Full »

My friend is a 20-year-old female and is a beta-thalassemia minor carrier with hemoglobin of 12.6 g/dl. Kindly help.

Query: Hello doctor,My friend is a 20-year-old female. She is a beta-thalassemia minor carrier and her hemoglobin is 12.6 g/dl. What does her report suggest? Kindly help.  Read Full »

Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to icliniq.com. Based on the provided range I cannot comment regarding the possibility of thalassemia minor. I need to know the MCV, and RBC count as well to comment further. So kindly attach your full CBC (complete blood count) report so that I can give more detailed comments. I ho...  Read Full »

My CBC showed 1+ anisocytosis. Any suggestions?

Query: Hello doctor,My recent CBC showed 1+ anisocytosis and 1+ anisocytosis. My hemoglobin is 12.9. The lowest hemoglobin I ever had was I believe post my C-section. I do take multivitamin/ or prenatal almost on daily basis even now. I am concerned with these results: I know in previous blood test it show...  Read Full »

Dr. Singh Smrita

Answer: Hello, Welcome to icliniq.com. Anisocytosis means a difference in the size of the red blood cells. This could mean that you have a mild iron deficiency. Anisocytosis of 1+ is a very mild variation in the size of the RBCs. Your hemoglobin levels are towards the lower end of the normal range and it...  Read Full »

What is the reason behind low platelets?

Query: Hello doctor, My platelets are usually on lower side ranging from 100000 to 120000 since last one month with no physical symptoms. All other tests are all right like LFT, TFT, and abdominal ultrasound, vitamin B12 is 206 while the iron is 90, urine is also clear. What can be the reason behind low p...  Read Full »

Dr. Goswami Parth Rajendragiri

Answer: Hi, Welcome to icliniq.com. There are many causes of low platelet. Low platelet is known as thrombocytopenia. The causes include different types of hemolytic anemia, viral infection, dengue, ITP, uremia, kidney disease, etc. So I suggest you investigate as follow for primary workup: CBC to check f...  Read Full »

I am 25 years old and have had high Hb and RBC levels for the past two years. Can I be affected by polycythemia vera?

Query: Hello doctor, I am a 25-year-old male and have had high hemoglobin and RBC levels for over two years. Recently, I got a hemogram that again shows elevated RBC and Hb levels and hematocrit within normal. So my hematologist asked me for the JAK 2 exon mutation 12 and 14 tests. I am worried that I have...  Read Full »

Dr. Goswami Parth Rajendragiri

Answer: Hi, Welcome to icliniq.com. Your Hb (hemoglobin), hematocrit, and RBC (red blood cells) are high. The diagnosis is either primary polycythemia vera or secondary polycythemia. I require your total WBC (white blood cell) count and platelet to comment further. You can attach your reports; if you have...  Read Full »

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