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HomeAnswersHematologyhemoglobinMy husband has low hemoglobin levels. Please help.

Hemoglobin, RBC, and WBC are going down rapidly. What can be the reason?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At June 27, 2018
Reviewed AtFebruary 20, 2024

Patient's Query

Hello doctor,

My husband's hemoglobin is 3.7 g/dL, but the hemoglobin level was 5 g/dL when we checked it two days back. His RBC and WBC are also going down. What can be the reason?

Hi,

Welcome to icliniq.com.

Your husband's hemoglobin and WBC count are going down very fast, it is not normal. For such low hemoglobin levels, blood transfusion is needed immediately.

A peripheral smear examination should be done, to look for schistocytes like fragmented RBC and normoblast count.

Reticulocyte count, serum LDH (lactate dehydrogenase), serum bilirubin, etc., need to be checked. These reports will rule out hemolytic anemia, which causes hemolysis, leading to a rapid decrease in hemoglobin.

Hypersplenism and blood septicemia (blood infection), can suppress the bone marrow, which can also be presented like this.

A blood DCT (direct Coombs test) has to be done, to look for autoimmune hemolytic anemia.

For hemoglobinopathy induced low hemoglobin, Folic acid and Hydroxyurea are given.

So, consult a nearby physician as soon as possible, to identify the cause, clinical and physical examinations need to be done.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Goswami Parth Rajendragiri
Dr. Goswami Parth Rajendragiri

Pathology

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