Q. Should we consult a hematologist for hemoglobin level?

Answered by
Dr. Parth R Goswami
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Apr 23, 2022

Hi doctor,

My mother is 70-years-old, and for the last 15 days, she has had health issues. She has anemia with Hb - 8 gm/dL ; when consulted with a physician, he suggested consulting a hematologist. Please help.



Welcome to

Following is my opinion on your asked question. It could be a case of hemolytic anemia. In hemolytic anemia, red blood cell (RBC) destruction is present, and so the life span of RBC is reduced. I suspect hemolytic anemia due to high ferritin shown in report (attachment removed to protect the patient's identity) and the presence of polychromatic red blood cells. There are many causes of hemolytic anemia. However, your HPLC (High-performance liquid chromatography) shows elevated HbF (fetal hemoglobin), so further DNA (deoxyribonucleic acid) analysis for hemoglobinopathy can be done. Lymphocytes can be elevated due to viral infection probably. Further investigation is needed in the form of USG (ultrasonography) of abdomen, molecular study for hemoglobinopathy, DCT (direct Coombs test), etc. I suggest you visit a nearby hematologist for your physical examination and, accordingly, further management. You can discuss all these with your treating doctor. I hope I have answered your question. Let me know if I can assist you further.

Best regards.

Hi doctor,

Thank you for the reply.

Usg has been done. Also, she had a liver hematoma. The reports are attached.



Welcome back to the

Following is my opinion on the questions you asked. In the attached report (attachment removed to protect the patient's identity), USG shows gall bladder calculi. Hemolytic anemia frequently presents with gall stones. So, your gall stones are due to hemolysis probably. I hope I have answered your question. Let me know if I can assist you further.

Best regards.

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
Why does my son have a low hemoglobin level and low-grade fever?

The doctor suggested a Tasiron iron supplement, but it did not improve ... Regular beetroot juice, pomegranate juice, a non-vegetarian diet, and homeopathic Iron sulfate supplements did not help ...   Read full

Acquired RBC Anemias - Symptoms, Causes, Diagnosis, and Treatment

Iron deficiency anemia ... Iron Deficiency Anemia: Iron deficiency anemia is the most common form of anemia ... Cobalamin must be supplemented in the diet, and the o...   Read full

I am losing weight with low hemoglobin and persistent cough. Kindly help.

RDW (red cell distribution width) is high, so probably iron deficiency anemia ... Take iron-rich food and iron tablet with orange juice...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Monkeypox Virus - Symptoms, Diagnosis, Treatment, Complications, and Prevention
Monkeypox is a zoonotic viral disease. This virus got its name as it was first noticed in laboratory monkeys in the late...  Read more»
Tomato Fever - Causes, Symptoms, Diagnosis, Treatment, and Prevention
Tomato fever is an unidentified and fast-spreading type of viral infection seen in young children. Scroll down to know m...  Read more»
Histrionic Personality Disorder - Causes, Signs, Symptoms, Diagnosis and Treatment
Histrionic personality disorder causes variations in the thinking ability of a person. Read this article to know more.  Read more»

Ask your health query to a doctor online?

Ask a Hematologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.