Q. Please suggest me some way to improve Hb level.

Answered by Dr. Naresh Kumar Monigari and medically reviewed by iCliniq medical review team.

 

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Hi doctor,

I am a 26 years old married female. My height is 156 cm and weight is 55 kg. I am neither pregnant nor a mother. Before 20 days, my BP was too low, 90/50 mmHg and I felt weakness and breathlessness. I have gone through blood tests and my hemoglobin was found to be 7.8 g/dL. I have attached the reports for your reference. Around three years back, my Hb was 6 g/dL and I had Iron tablets for a course of three months. Before two months, when I checked my Hb, it was again 6 g/dL. It is improving now with iron-rich diet and supplements. But, still, I feel pain in the bottom of my foot and in palm once a day. Please suggest me the way to improve my Hb level.


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Dr. Naresh Kumar Monigari
MBBS., MD GENERAL MEDICINE., FELLOWSHIP 2D ECHO
General Medicine, Internal Medicine

Hello,

Welcome to icliniq.com.

I had gone through all the data posted.

  • The reports posted (attachment removed to protect patient identity) shows mainly iron deficiency and vitamin D deficiency.
  • Iron deficiency is commonly seen in menstruating females because of blood loss. Hence, the nutritional need is high. If such requirement is not met, then it leads to iron deficiency.
  • Do you suffer from heavy menstrual blood loss? If yes, then kindly consult a gynecologist.
  • I suggest capsule Vit D3 60,000 IU once a week for four weeks and tablet Cramnil (Magnesium bisglycinate 360 mg) once a day for only two days a week for five weeks. Also, take milk regularly.
  • Consult your specialist doctor, discuss with him or her and take treatment with consent. Kindly get reticulocyte count and peripheral smear after a week of starting Iron supplements.

Revert with the reports to a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist

 

Hi doctor,

Thank you for your valuable advice and suggestion in this regard. I will be grateful if you respond my concern in my report related to RBC. It was mentioned as RBCs - marked anisocytosis, moderate poikilocytosis, predominantly microcytic hypochromic cells with ovalocytes and elliptocytes.

 

Dr. Naresh Kumar Monigari
MBBS., MD GENERAL MEDICINE., FELLOWSHIP 2D ECHO
General Medicine, Internal Medicine

Hello,

Welcome back to icliniq.com.

I had gone through your query.

  • About the alert that was mentioned in your report is, the size of RBC (red blood cells) are small (microcytic) and other different sizes (poikilocytosis) pencil shaped.
  • These occur with severe iron deficiency. There is no need to worry about that. Please take Iron supplements and iron-rich foods.

For further doubts consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist

 
 
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