My wife's hemoglobin is low and we could not find the reason for it. Please explain.

Hello,

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Yes, your wife is in severe anemia. Hb (hemoglobin) level is low at 8.1 g/dl.

RBC count is low at 2.86 million/cu.mm.

The reticulocyte count is 7.0 increased-that means bone marrow production increased to face the demand.

LFT is normal. There is no hemolysis.

Now we have to see blood peripheral smear study to determined the morphology of the RBC and cells. That will give the cause of anemia. Any history of heavy bleeding periods or any other blood loss conditions? But now she urgently needs (packed cell) blood transfusion to meet out low Hb,and iron supplement. And find out the cause for blood loss and rectify.

Hello,

Welcome back to icliniq.com.

The smear shows normochromic microcytic anemia, and transferrin saturation is 13.20 % it is low. All due to again iron deficiency anemia only. As I mentioned before first give packed cell transfusion and then iron and folic acid, B12 supplements in the form of injections or medicine.