HomeAnswersHematologyhemoglobinKindly suggest some ways to improve hemoglobin level.

Please suggest me some way to improve Hb level.

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At February 23, 2017
Reviewed AtDecember 20, 2023

Patient's Query

Hi doctor,

I am a 26 years old married female. My height is 5 feet 12 inches and my weight is 121 lbs. 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 an iron-rich diet and supplements. But, still, I feel pain in the bottom of my foot and in my palm once a day. Please suggest me a way to improve my Hb level.

Hello,

Welcome to icliniq.com.

I had gone through all the data posted.

  1. The reports posted (attachment removed to protect patient identity) shows mainly iron deficiency and vitamin D deficiency.
  2. Iron deficiency is commonly seen in menstruating females because of blood loss. Hence, the nutritional need is high. If such a requirement is not met, then it leads to iron deficiency.
  3. I suggest iron-rich foods along with Iron supplements (Iron tablets twice a day) like Orofer XT or Faa 20.
  4. Do you suffer from heavy menstrual blood loss? If yes, then kindly consult a gynecologist.
  5. Vitamin D deficiency, it has to be synthesized by our body on exposure to sunlight.
  6. I suggest a capsule of vitamin D3 60,000 IU once a week for four weeks and a tablet of Cramnil (Magnesium Bis-glycinate 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 a reticulocyte count and peripheral smear after a week of starting Iron supplements.

Patient's Query

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.

Hello,

Welcome back to icliniq.com.

I had gone through your query.

About the alert that was mentioned in your report, the size of RBC (red blood cells) is 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.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Naresh Kumar M.
Dr. Naresh Kumar M.

Internal Medicine

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