Low Hemoglobin

Low hemoglobin count in your blood indicates anemia. The average hemoglobin count for men and women is 13.5 and 12 g/dL, and anything less than that is considered anemia. Other conditions that cause low hemoglobin are cancer, kidney disease, lead poisoning, liver cirrhosis, and hypothyroidism.

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Why did my hemoglobin drop drastically?

Query: Hi doctor, I recently had a ferritin test done, and my iron was 38 ug/dL. My hemoglobin dropped from 12.4 gm/dL to 11.3 gm/dL. I feel chest pain, fatigue, shortness of breath, weakness, and low energy. Please help. Thank you.  Read Full »


Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to icliniq.com. Your hemoglobin is mildly low, and your iron saturation level is low. So, it is suggestive of iron deficiency anemia. It would help with further investigation on stool analysis and peripheral blood smear examination report. If you have any recent history of bleeding ...  Read Full »

My platelet is high with 4 gm hemoglobin. What is my problem?

Query: Hello doctor, My platelet count was 974, hemoglobin was 4, sedimentation rate was >140, and iron was 7 with a saturation of 1%. I went to the doctor because I lost vision in one eye for about an hour. They have done and MRI, and EKG both normal. Two units of blood and iron transfusions started...  Read Full »


Dr. Goswami Parth Rajendragiri

Answer: Hi, Welcome to the icliniq.com. Your transferrin saturation and Hb seems very low. If you provide full CBC (complete blood count) report then it can be clear whether it is iron deficiency anemia or hemolytic anemia. Platelet count here can be high as a result of reactive thrombocytosis. It is be...  Read Full »

My wife's fitness certificate was put on hold due to low hemoglobin. Can she travel abroad?

Query: Hello doctor, My wife went for a master health checkup. Her fitness certificate was put on hold due to low hemoglobin and other blood test parameters. Her hemoglobin was 8 g/dL, ESR was 25, hematocrit was 26.8, MCV was 62.3, MCH was 18.8, MCHC was 30.0, and RDW was 21.4 %. Can you please chec...  Read Full »


Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to icliniq.com. I have gone through the reports (attachment removed to protect patient identity). Your wife has microcytic hypochromic anemia. The common causes of microcytic hypochromic anemia are iron-deficiency anemia, sideroblastic anemia, thalassemia minor, and anemia of chro...  Read Full »

Does a cirrhosis patient require medicines to increase platelet count and Hb?

Query: Hello doctor, I am a liver cirrhosis patient. My platelet count is 72,000 and hemoglobin is 10. Everything else including protein and albumin are normal. The doctor is giving Ricovir 300, Pantosec 40, Udliv 150, Vitamin A to Z daily and Lasilactone 50 mg on alternate days. But, he is not giving any...  Read Full »


Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to icliniq.com. In liver cirrhosis, chronic fibrosis occurs and such fibrotic tissue obstructs portal blood flow and so, because of portal hypertension splenomegaly can occur. An enlarged spleen traps platelet count and so your platelet count is low. With an improvement of cirrhosi...  Read Full »

My 70-year-old mother has a low hemoglobin level. Should we consult a hematologist?

Query: 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.  Read Full »


Dr. Goswami Parth Rajendragiri

Answer: Hi, Welcome to icliniq.com. 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 ...  Read Full »

Do I get exhausted easily due to my lo hemogobin levels?

Query: Hi doctor, My hemoglobin level is 5.1 g/dL. I get tired and exhausted often for a month. I also had hypertension for 12 years. Currently, I am taking tablet Telmikind H, half a tablet once a day. Kindly help.  Read Full »


Dr. Goswami Parth Rajendragiri

Answer: Hello,Welcome to icliniq.com.I understand your concern. You are getting tired due to anemia, and it frequently presents with fatigue. Probably, you may have microcytic hypochromic anemia by iron deficiency. Your hemoglobin level is very low. I suggest you need an Iron sucrose-like injection for rapi...  Read Full »

What should I do if my hemoglobin is low?

Query: Hi doctor, I just had a routine checkup done. Please check the attached reports, and let me know if everything is fine.  Read Full »


Dr. Goswami Parth Rajendragiri

Answer: Hi, Welcome to icliniq.com. I had seen your report (attachment removed to protect patient identity). Your hemoglobin is slightly low, and it mostly seems to be iron-deficiency anemia. For that, no medication is needed. I suggest eating iron-rich foods like green leafy vegetables, dry fruits, beans,...  Read Full »

What does it mean when MCV and MHV are low after delivery?

Query: Hello doctor, I am a 24-year-old female. I have a 8-month-old baby. I am suffering from a thickened uterine lining (18 mm) and experiencing heavy bleeding for the last three months. After using hormonal pills (Ovipauz) for one month, the lining returned to a normal thickness of 6 mm, but I still ha...  Read Full »


Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to icliniq.com. Following is my opinion for your questions; In pregnancy, hemoglobin level usually goes down, so do not worry about that. In the attached reports (attachments removed to protect the patient’s identity), your hemoglobin level is low, along with low PCV (pa...  Read Full »

Is there any serious issue with my blood test report?

Query: Hello doctor,I am a male, who weighs 49 kg and I am 5.6 feet tall. I got my blood test done, and the report showed that my TLC is 5800, neutrophils is 80, lymphocytes are 17, monocytes is 2, hemoglobin is 9.1 g/dL, PCV is 27, total RBC is 3.8, and platelets is 2.3 lakhs. Is there any serious probl...  Read Full »


Dr. Goswami Parth Rajendragiri

Answer: Hi, Welcome to icliniq.com. According to the history provided, the neutrophils count is slightly high, and hemoglobin level is low. Low hemoglobin can be from nutritional anemia, which includes iron-deficiency anemia as well. So, get your serum ferritin and TIBC (total iron binding capacity) tested...  Read Full »

My uncle suffers from constant chest and stomach pain. Why?

Query: Hi doctor, My uncle is having constant chest pain and stomach ache. His hemoglobin level is 6.20 mg/dL; platelet count is 598000 per mcL and ESR is 60 mm/hour. What is causing his symptoms? I am attaching my uncle's blood reports.  Read Full »


Dr. Goswami Parth Rajendragiri

Answer: Hi, Welcome to icliniq.com. After going through your uncle's reports (attachment removed to protect patient identity), your uncle's hemoglobin is low, and platelet count is raised. A peripheral smear examination has to be done. If the peripheral smear is suspicious, then further workup needs to be...  Read Full »

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