My wife aged 36 with low hemoglobin got her hemoglobin and platelet increased. But after two months, she had vomiting and developed jaundice, and the hemoglobin got reduced again. The doctors advised two bottles of blood transfusion, but after 75 % of the blood was transfused, she got allergic for two days. Her hemoglobin is now 6.5 to 7 g/dL, and the doctors are now asking her to take a bone marrow test as they feel that the blood is dissolving. What should I do doctor?
I read your query and can understand your concern. I have noted that your wife's hemoglobin level is not increasing with iron treatment and decreasing for two months according to the history provided. Moreover, she had suffered from jaundice as well. So, I suggest you rule out hemolytic anemia by peripheral smear examination, reticulocyte count estimation, serum LDH estimation, and further reports accordingly. You can consult a hematologist for getting evaluated further. If no cause is identified then a bone marrow-like invasive study should be done. Hope I have answered your question. Let me know if I can assist you further. Thanks and take care.
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