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Why is my daughter's hemoglobin level low?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

My 3 years old daughter is diabetic since 1.5 years of age and she is also anemic. Sugar is not much a concern. Recently, we got her blood test done and her hemoglobin is 10 and serum ferritin is 1.71. I have given her Iron supplement for over eight months now. Since then, this is her third blood test. Hemoglobin and ferritin levels just seem to drop each time. Her current medications are Lantus 10 units in the morning, Novorapid on a sliding scale between 1.5 and 2.5 units and Fermax one fourth of a teaspoon every night.
Answered by Dr. Nagasirisha Naredla

Education:

MBBS

Professional Bio:

Dr. Sirisha is a Pediatrician and Child Health specialist with 18 years of clinical experience. She completed her MBBS from Dr. NTR University of Health Sciences, Andhra Pradesh, in 2005 and DCH from Kannur Medical College, Kannur, in 2008. She deals with the nursing care of infants, children, and adolescents at the community and primary and secondary levels of health care.

This doctor is not available for online consultations on the platform anymore.

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Hi,

Welcome to icliniq.com.

1. Anemia can have many causes. Iron deficiency is one of them and very common.

2. There can be other causes, which require some other investigations like peripheral smear and vitamin B12 levels. But, low ferritin points towards low iron as the cause.

3. If she ever required a blood transfusion, you should definitely get other investigations like hemoglobin electrophoresis done. I suggest her iron and other multivitamin syrup, which includes vitamin B12 and folate.

4. Hemoglobin of 10 is not very bad, but ferritin should improve. Give her diet rich in iron.

Medically reviewed by iCliniq medical review team
Published At November 8, 2016
Reviewed At January 23, 2024

Education:

MBBS

Professional Bio:

Dr. Sirisha is a Pediatrician and Child Health specialist with 18 years of clinical experience. She completed her MBBS from Dr. NTR University of Health Sciences, Andhra Pradesh, in 2005 and DCH from Kannur Medical College, Kannur, in 2008. She deals with the nursing care of infants, children, and adolescents at the community and primary and secondary levels of health care.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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

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Decision Helper
Child Anemia Evaluation Decision Helper

Concerned about your child's low hemoglobin?

This quick check helps you understand potential reasons for your child's anemia and when to consult a specialist.

  • Anemia can have many causes beyond iron deficiency.
  • Low ferritin often points to iron deficiency.
  • Further tests like peripheral smear or vitamin B12 levels may be needed.

For guidance only, not a diagnosis. Always consult a healthcare professional.
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Dr. Nagasirisha Naredla

Pediatrics

Education:

MBBS

Professional Bio:

Dr. Sirisha is a Pediatrician and Child Health specialist with 18 years of clinical experience. She completed her MBBS from Dr. NTR University of Health Sciences, Andhra Pradesh, in 2005 and DCH from Kannur Medical College, Kannur, in 2008. She deals with the nursing care of infants, children, and adolescents at the community and primary and secondary levels of health care.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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low ferritin leveliron defeciency anemiahemoglobin electrophoresisiron-rich foodsanaemiahemoglobinvitamin b12 deficiencyperipheral smear study

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