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Ferritin level has decreased in spite of taking iron supplements. Should I worry?
Query: Hello doctor, I am a 21 year old female. Yesterday, doctors have checked my blood. I am visiting a hospital frequently as I have iron deficiency anemia. The thing I am scared about is, my doctor asked me why my ferritin has not increased (just the opposite, it has decreased from 5.79 to 5.77) after... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. In viral infection, lymphocytosis means increased lymphocytes and neutrophil is relatively low because of increased lymphocytes. Platelet can be high in iron deficiency anemia. It is not a matter of worry just now. You can provide your reports to guide you further. You... Read Full »
Query: Hello doctor,I am healthy, though I have been a little more tired lately. My WBC count is 13.73, my platelet count is 351, and my immature granulocytes are 1.4. I have had high blood pressure for years now and take Atenolol daily. In addition, I was just put on cholesterol medication and take Zyrtec... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Thank you for your query. I understand your concern. The blood values mentioned in reports seem to be within the limit. Immature granulocytes are released in the blood when infection or inflammation is present, and so it is released into the blood. It is called the ... Read Full »
My serum iron levels are very high after taking iron supplements. Should I be worried?
Query: Hello doctor, I am a 46-year-old female with a history of low iron and hemoglobin due to heavy periods and bleeding in between periods due to fibroids. For the last several days, I have been taking 65 mg of elemental iron because of this issue. I am not taking any other medicines. My blood pressure ... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I understand your concern. As mentioned in the history, you have iron deficiency anemia due to bleeding. Ferritin and iron values increase in a short time due to the intake of iron supplements. Your high iron levels are due to iron tablet intake, and you do not have ... Read Full »
Will taking Iron supplements make ferritin levels better?
Query: Hello doctor, I have an iron deficiency for three months and have been using Iron supplements. My ferritin is still low though, so I am using Iron supplements still. My question is, my RBC has been increased to 4.52, hemoglobin is also gradually increasing to its normal levels (11.2). Now it is on ... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello,Welcome to icliniq.com.Serum ferritin reflects the iron store. Whenever an Iron supplement is started, the iron store is replenished in last. So gradually your ferritin and iron level will come back to normal. Your RBC and PCV (packed cell volume) are not much altered. So do not worry about th... Read Full »
My platelet is high with 4 gm hemoglobin. What is my problem?
Query: Hello doctor, My platelet count was 974, hemoglobin was 4, sedimentation rate was >140, and iron was 7 with a saturation of 1%. I went to the doctor because I lost vision in one eye for about an hour. They have done and MRI, and EKG both normal. Two units of blood and iron transfusions started... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to the icliniq.com. Your transferrin saturation and Hb seems very low. If you provide full CBC (complete blood count) report then it can be clear whether it is iron deficiency anemia or hemolytic anemia. Platelet count here can be high as a result of reactive thrombocytosis. It is be... Read Full »
Can I take Vitamin C supplements for anemia?
Query: Hello doctor, Can I take Vitamin C because I am anemia patient and what is the name of Vitamin C supplement? My age is 19 years old and my height is 161 cm. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. If you are anemic patient, then according to cause the treatment is given. For example, if iron deficiency anemia is present then the iron tablet can be prescribed. If vitamin B12 deficiency is present then B12 injection is needed. No need for Vitamin C intake for anem... Read Full »
I have anemia with low ferritin level. Can it be cured with diet and supplements?
Query: Hello doctor, My age is 27 years and I am a female. I have anemia with a very low ferritin level 2.1 and HB is 6.5. Can it be cleared by taking diet and iron supplements? Which is a good time to take Zincofer syrup, how much ml? Please advice. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Your symptoms are suggestive of iron deficiency anemia. I want to check your full CBC report. The investigations that are suggested in your case is peripheral smear examination, transferrin saturation, and serum TIBC (total iron binding capacity) also. You need to be g... Read Full »
Query: Hello doctor, I have had iron deficiency anemia for three months. In short, my third CBC doctor said everything is going fine, and my hemoglobin level is increasing. I have also done another blood test, even if I have not used iron supplements for two days. My blood levels were still increasing; I a... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. If you have significant gastrointestinal bleeding, it is reflected in CBC (complete blood count) in the form of decreased hemoglobin level and increased platelet count. However, the minor bleeding will not be reflected in CBC. Iron medicine can remain in circulation... Read Full »
My iron supplement contains 18 mg of iron. Is it sufficient to treat my iron deficiency?
Query: Hi doctor, I am in my early twenties and my body weight is 210 pounds. Recently, I got some blood investigations done and the findings are as follows: Iron-46 mcg/dL. Ferritin-5 mcg/L. Iron Saturation-12%. Low MCH and MCH. Hemoglobin-12.6 g/dL. I bought an iron supplement and it contains 18 mg of... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Elemental iron means the total amount of iron available for absorption by your body in the tablet. 18 mg elemental iron is not enough to treat iron deficiency anemia. Your hemoglobin level is not very low so you could probably have mild iron deficiency anemia for wh... Read Full »
My wife's fitness certificate was put on hold due to low hemoglobin. Can she travel abroad?
Query: Hello doctor, My wife went for a master health checkup. Her fitness certificate was put on hold due to low hemoglobin and other blood test parameters. Her hemoglobin was 8 g/dL, ESR was 25, hematocrit was 26.8, MCV was 62.3, MCH was 18.8, MCHC was 30.0, and RDW was 21.4 %. Can you please chec... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I have gone through the reports (attachment removed to protect patient identity). Your wife has microcytic hypochromic anemia. The common causes of microcytic hypochromic anemia are iron-deficiency anemia, sideroblastic anemia, thalassemia minor, and anemia of chro... Read Full »