The red blood cells in the blood contain the maximum amount of iron. Iron is essential for good health as red blood cells carry oxygen from the lungs to other tissues of the body. You might need iron supplements in conditions like iron-deficiency anemia, pregnancy, during menstruation, dialysis, excess blood loss, etc.
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My hemoglobin count is low. Is it due to iron deficiency?
Query: Hello doctor, I had my blood testing done yesterday. Rest all reports are good except for my hemoglobin count. The following pointer is highlighted: Hemoglobin- 8.4 g/dL. Eosinophils- 7.4 %. Monocytes absolute count- 0.14 x 10^3/ul. Basophils absolute count- 0.01 x 10^3/ul. Hematocrit (PCV)- 32.6 %... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. Your Hb level is low and blood indices also low. Your serum iron level as well low. Hence, it is suggestive towards iron deficiency anemia. For further workup, peripheral smear examination and serum ferritin investigation have to be done. You need to have a prescribed i... Read Full »
What are the causes of my iron-deficiency anemia?
Query: Hello doctor,I am a 50-year-old male, who until recently was in relatively good health, other than idiopathic severe osteoporosis and depression. Over the past six months, I have become lethargic, out of breath after very simple tasks, and loss of memory. My primary doctor noticed that my hemoglobin... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query and attached reports (attachment removed to protect patient identity), my opinion is as follows: CT with contrast helps us in looking for any structural abnormalities. If there are any strictures (narrowed areas) or any masses (like carcinoma), the... Read Full »
What should I do to correct iron and vitamin D deficiency?
Query: Hello doctor, My daughter is eight years old, and we found out at the end of last month that she had low iron due to fainting episodes. She has been on a liquid iron supplement that she takes with a glass of orange juice, since the start of this month. However, her iron levels have continued to drop... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com.I went through your query and understood your concern. According to the history provided, fatigue, sleepiness, low energy are the main complaints. Let me tell you that in the attached reports (attachments removed to protect patient's identity), serum ferritin, serum iron, ... Read Full »
Can you suggest a treatment plan based on my blood smear report?
Query: Hi doctor, My blood smear result showed RBC - microcytic normochromic with anisocytosis and poikilocytosis, WBC - normal with neutrophilic predominance. What treatment should I get? Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: At this age, microcytic hypochromic anemia is often due to iron deficiency. Neutrophils could be increased due to stress or mild infection. There is nothing to worry about, it is probably resolved and reducing as you have... Read Full »
Shall I take Zincofer to improve ferritin?
Query: Hi doctor, I am a 21-year-old female. My Hb level is 13, whereas my ferritin level is 14. What shall I do to improve my ferritin? Also, I feel fatigue, mood swings and hair fall. Please suggest me some supplements? I have been suggested with Zincofer. Will that tablet cause any side effect? Will my ... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: It is still early stage of iron deficiency anemia. Hemoglobin is normal, however, ferritin is low. Yes, Zincofer can be taken. However, any Ferrous Fumarate supplements or iron supplements can be taken. For better absorpt... Read Full »
Why am I bleeding heavily, six weeks after delivery?
Query: Hi doctor, I am currently (almost) 6 weeks postpartum. I had sex at 4 weeks of postpartum and I got the Nexplanon inserted a couple of days before that. My doctor checked to see whether my uterus was still up high and it was not. Also, I did not have any tearing during birth. My bleeding stopped at ... Read Full »
Answer: Hi, Welcome to icliniq.com. Please get yourself checked by a gynecologist internally and get a pelvic scan done to rule out the exact cause.Post delivery your body is tender and in a state of recovery. It is not yet ready to take so much stress and strain.Usually, this could be due to the Nexplanon ... Read Full »
I feel tired in the evenings. Do I need any supplements?
Query: Hi doctor, I feel very tired in the evenings. So, I got a medical checkup done, and I need to understand if everything is fine. Do I need to take any supplements? If yes, kindly tell me the names of the medicines. I am attaching my reports, and I am currently taking tablet Losar H and Stamlo for hy... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your history, general condition, and your investigation reports (attachment removed to protect patient identity). I will need few additional information like, since when do you have your symptoms? When did you start taking the hypertension medicines? D... Read Full »
Please suggest ways to improve serum iron levels.
Query: Hi doctor, I am a 35-year-old female. I have been experiencing a rigorous hair fall. I am also feeling tired and dizzy. My skin and hair have become very rough and dry. Also, the blood loss during periods is excessive. I got my blood tests done six months back and my serum iron was 36. My doctor ha... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query and reports (attachment removed to protect patient identity), my opinion is as follows: Serum iron has improved and is almost near normal. The body is using up iron to prepare RBC (red blood cell) and in other activities. Hence, improvement of seru... Read Full »
How to improve my hemoglobin level?
Query: Hi doctor,Recently, I had RARP surgery for prostate cancer. My Hb level post-surgery fell to 10.8 and I was advised to stay on the iron supplement Dexorange syrup one teaspoon thrice daily after meals. In view of ongoing treatment for erosive gastritis, which is now under control, the Iron supplemen... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query and reports (attachment removed to protect patient identity), my opinion is as follows: The hemoglobin level is improving. However, it has not improved to the levels that we will be satisfied to stop supplements. I am also not in favor of continuin... Read Full »
Is it safe to stop iron supplements for three months after attaining the normal serum value?
Query: Hello doctor, I was diagnosed with anemia last month. My serum iron level was 12. I was put on Ferrous Sulfate 325 mg twice a day. My doctor suspected a GI bleed because I have acid reflux that is under control with medications, but I wanted to try supplements first. I am not having any crazy GI sym... Read Full »
Dr. Peter Bryant Rapsing Grutas
Answer: Hello, Welcome to icliniq.com. Yes, the test is still valid. The results would show the effect of increased iron intake for the past weeks that you have been taking it and a few days of not taking it will not have much effect. Not taking it for three months is still fine. I believe your doctor has... Read Full »