HomeAnswersHematologyhemoglobin

Why does my hemoglobin keep dropping all the time?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

Please can you interpret my recent laboratory report? Why is my hemoglobin dropping all the time? Why is my blood report abnormal? Do you think I have blood cancer? Or any other cancer? Do you want me to go to an oncologist?

Kindly guide.
Answered by Dr. Goswami Parth Rajendragiri

Education:

MBBS

Professional Bio:

Dr. Goswami Parth Rajendragiri is an experienced General Physician and Pathologist with extensive years of clinical expertise. He specializes in diagnosing and managing a wide range of medical conditions while providing holistic care to patients. As a Pathologist, he is skilled in performing and interpreting laboratory investigations that aid in accurate diagnosis and treatment planning. Dr. Rajendragiri is dedicated to delivering patient-focused care with a strong emphasis on preventive medicine and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hello,

Welcome to icliniq.com.

I am giving you my opinion regarding your reports (the attachment was removed to protect the patient's identity).

Your CBC is showing microcytic hypochromic anemia. Anemia means a low hemoglobin level; the oxygen-carrying capacity of blood is affected. Your reticulocyte count is high, and polychromasia is present with high bilirubin. So you can have hemolytic anemia and iron deficiency anemia combined.

I suggest the following investigation for you:

  1. Serum ferritin.
  2. Serum TIBC (total iron binding capacity).
  3. Serum transferrin receptor saturation.
  4. Hb electrophoresis by the HPLC method.
  5. G6PD testing.

According to reports, a further management plan can be decided. You will need an iron tablet or injection to improve your hemoglobin level, but the above reports have to be done to find the cause. In hemolytic anemia, RBC destruction occurs, and the underlying cause is searched for. Your report does not show any cancer signs, so do not worry.

I hope this information helps you.

Feel free to ask further queries.

Medically reviewed by Dr. K. Shobana
Published At June 26, 2018
Reviewed At July 14, 2026

Education:

MBBS

Professional Bio:

Dr. Goswami Parth Rajendragiri is an experienced General Physician and Pathologist with extensive years of clinical expertise. He specializes in diagnosing and managing a wide range of medical conditions while providing holistic care to patients. As a Pathologist, he is skilled in performing and interpreting laboratory investigations that aid in accurate diagnosis and treatment planning. Dr. Rajendragiri is dedicated to delivering patient-focused care with a strong emphasis on preventive medicine and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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

Dr. Goswami Parth Rajendragiri
Dr. Goswami Parth Rajendragiri

Pathology

Consult this doctor

Education:

MBBS

Professional Bio:

Dr. Goswami Parth Rajendragiri is an experienced General Physician and Pathologist with extensive years of clinical expertise. He specializes in diagnosing and managing a wide range of medical conditions while providing holistic care to patients. As a Pathologist, he is skilled in performing and interpreting laboratory investigations that aid in accurate diagnosis and treatment planning. Dr. Rajendragiri is dedicated to delivering patient-focused care with a strong emphasis on preventive medicine and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
Listen to related tracks in our music library

Related Questions

The Need for Iron in the Development of the Body

I am O+ve and fiance is B-ve. What problems are we going to face?

Can low hemoglobin cause shortness of breath?

ABO Hemolytic Disease of the Newborn - An Overview

Can low hemoglobin cause fatigue, breathlessness, hair loss?

Why Do Many Women Suffer From Anemia?

Comprehensive Second Opinion

Read answers about:

hemolytic diseasehemoglobiniron defeciency anemia

Ask your health query to a doctor online

Hematology

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.