Q. My hemoglobin level and RBC levels have become low. What could be the reason?

Answered by
Dr. Arpit Varshney
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Mar 12, 2022

Hello doctor,

My hemoglobin count and RBC levels were normal until about a year or two, but now my hemoglobin level is around 10 g/dL, and blood reports show that I have iron deficiency anemia. I am taking tablet Amlong 5 mg and tablet Ecosprin 75 mg and do not have any previous history of the same issue. What would be the reason? Would you recommend any particular tests to diagnose any deeper problem?

Please help.



Welcome to

I have gone through your reports (attachments removed to protect the patient's identity). There are two issues that I would like to discuss in detail.

1) Your diagnosis is correct; it is iron deficiency anemia. The best way to treat it is through oral iron supplements.

I suggest you take,

1)Tablet Livogen-XT (Ferrous Ascorbate, Folic Acid, and Zinc Sulphate) or,

2)Tablet Orofer-XT (Ferrous Ascorbate and Folic Acid) or,

3)Tablet Astyfer-XT (Ferrous Ascorbate with Aminoacids, Zinc, and Vitamins).

You can take any one of these as they cause minimal side effects. One tablet once a day for three months.

You do not require injectable iron or blood transfusion, as your reports are only mildly deranged.

You should also consume iron-rich foods, such as green vegetables, jaggery, pistachios, cashews, etc.

You should get your CBC (complete blood count) and iron profile tested after three months to decide if you need to continue or stop the medication.

2) Your HbA1c (glycated hemoglobin) is more than 6.5%. Though your blood sugars levels are normal, HbA1c is more than average. HbA1c is a better marker of diabetes; I suggest you avoid taking anti-diabetes medications instead, control your sugar intake, and increase your physical activity. Our target HbA1c is less than 6.5%.

Take care. Revert with the reports after three months.

Hello doctor,

Thank you for the reply.

I am concerned about other reasons for the low RBC and hemoglobin count, like cancer. Please help.



Welcome back to

I understand your concern. Yes, cancer can cause anemia and a low RBC count. However, other symptoms usually accompany in case of cancer, such as weight loss, loss of appetite, excessive fatigue, etc., depending upon the site of the cancer. Also, there would have been abnormalities in other reports as well. If you want to be sure of the cause of your iron deficiency anemia, the best way is to get a bone marrow aspiration and biopsy test. However, I do not suggest you get this test at this early step.

Kindly revert for further queries.

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
My HbA1c is 7.5. Should I continue my tablet for diabetes?

So, I would suggest you to continue with tablet Glyciphage 500 mg (Metformin) with breakfast and with dinner for a month along with diet management and regular exercise ...   Read full

Why does my son have a low hemoglobin level and low-grade fever?

The doctor suggested a Tasiron iron supplement, but it did not improve ... Regular beetroot juice, pomegranate juice, a non-vegetarian diet, and homeopathic Iron sulfate supplements did not help either ......   Read full

My hemoglobin is 4 and iron is 7 with 1% saturation. Do I need blood transfusion?

Hello doctor, My platelet count was 974, hemoglobin was 4, sedimentation rate was > ... Your anemia should be treated with blood transfusion as this hemoglobin level is very low ......   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Monkeypox Virus - Symptoms, Diagnosis, Treatment, Complications, and Prevention
Monkeypox is a zoonotic viral disease. This virus got its name as it was first noticed in laboratory monkeys in the late...  Read more»
Tomato Fever - Causes, Symptoms, Diagnosis, Treatment, and Prevention
Tomato fever is an unidentified and fast-spreading type of viral infection seen in young children. Scroll down to know m...  Read more»
Histrionic Personality Disorder - Causes, Signs, Symptoms, Diagnosis and Treatment
Histrionic personality disorder causes variations in the thinking ability of a person. Read this article to know more.  Read more»

Ask your health query to a doctor online?

Ask a General Medicine Physician Now

* 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.