Recently Answered Questions
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I have severe anemia. Is there any safe treatment?
Query: Hello doctor, I am a 49-year-old woman. I am suffering from severe anemia (iron and B12 deficiency). This might be the result of prolonged malnutrition over the past few years. The problem is that I have developed extreme sensitivity to most of the drugs, medication, treatment. In the past, there we... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. You are having iron injection allergy. Hence, it is better to avoid. But sometimes, we have to take decision according to benefit to risk ratio. In your case benefit could be more because severe anemia should be treated. (Your ferritin is also very low). So, blood tr... Read Full »
I suffer from recurrent anal fissures. Please help.
Query: Hi doctor, I have recurrent anal fissures. When I consulted a doctor, he said the blood loss is very less. But, another doctor advised me to check for CBC. Is this a serious issue? Read Full »
Answer: Hi, Welcome to icliniq.com. Even if the blood loss is minimal, it can still result in anemia, making it crucial to conduct a complete blood count (CBC). If anemia is detected, iron therapy will be necessary. To prevent fissure, adopting a soft diet with ample salad and roughage to avoid hard stools... Read Full »
Why my hemoglobin is getting low and what should I do?
Query: Hello doctor, My hemoglobin is 6.2 and I feel very weak from inside my left chest. My reports are normal ECG, sugar, vitamin B12, X-ray, everything is normal. Why my blood is getting low and what should I do? I am a male aged 63 years. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. You are having anemia and because of that weakness can be felt. You should get further investigated with peripheral smear examination, reticulocyte count, serum ferritin estimation, serum TIBC (total iron binding capacity) investigation, serum transferrin saturation ... Read Full »
Why do I suffer from low energy and weakness for a few days now?
Query: Hi doctor, I have low energy for a few days now. I have done a blood test, and I have a ferritin level of 10 ng/mL. After taking supplements, my ferritin got increased to 16 ng/mL. But, still, I suffer from weakness. My doctor advised me to have an iron infusion to raise my levels. I still have lo... Read Full »
Answer: Hi, Welcome to icliniq.com. It also depends on the level of hemoglobin. There are no additional benefits seen while having an infusion. It gives a rapid rise in hemoglobin. If you have responded to oral treatment, then it is not necessary. Please send your blood reports soon. If everything is fine... Read Full »
Can I take iron injections to rebound my iron levels?
Query: Hello doctor,I have had low iron for quite a while. I also have polycythemia from testosterone supplementation, and at one point, my hematocrit got high enough that I was told to make bi-weekly blood donations. While the hematocrit has been controlled, my iron never rebounded, and I have struggled w... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. Your report (attachments removed to protect the patient's identity) suggests polycythemia means high red blood cell count, hematocrit, and hemoglobin. Your ferritin level is a little low. If you take iron supplement... Read Full »
My iron saturation is seven, and I have been experiencing blackouts for a while. Please help.
Query: Hi doctor, I just got my laboratory reports with an iron saturation of 7. It is mentioned to seek immediate medical care. My skin is yellow, and I blackout or throw up when standing up. This has been there for a long time. I have been dealing with low iron levels for years. Once a doctor suggested I... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I can understand your concern. Your iron saturation and iron levels are low. So it seems to be iron deficiency. However, yellow skin points towards hemolysis which means red blood cell destruction. Kindly attach your complete blood count (CBC) report if available. ... Read Full »
How to diagnose the cause of shortness of breath and extreme fatigue?
Query: Hi doctor, My mom, who is 76 years old, has a transferrin saturation level of 17. She has been scheduled for iron infusion therapy. She feels extremely tired, short of breath, and has arthritic pain. She cannot tolerate oral iron. She has had iron infusions before but does not last long. What to do... Read Full »
Answer: Hello, Welcome to icliniq.com. I am trying to understand whether she has iron deficiency anemia or anemia of chronic disease, or myelodysplastic syndrome. Did she ever get a bone marrow biopsy or hemoglobin electrophoresis? Can you share her latest complete blood count (CBC) before and after ... Read Full »