Can Dexorange syrup help increase the hemoglobin level?

Question

Hello doctor,

My father had 3.5 mg/dL of hemoglobin and platelets was 50 103/µL. The doctor then transfused two units of blood. After one and a half months, I checked the hemoglobin and still it was 3.5 mg/dL and platelets was 36 103/µL. My father has no sugar problem but has issues with BP. He is drinking juice and milk only.

Right now, he is taking papaya juice and milk. There is no bleeding anywhere. What is the reason? Why is the blood not increasing? Can we give Dexorange syrup to him?

Kindly advise.

Answer 1

Hello,

Welcome to icliniq.com.

From what you have mentioned, your father has pancytopenia which is the failure of the bone marrow to produce new blood cells. There are many reasons for that including vitamin B12 deficiency, leukemia, bone marrow, fibrosis, enlarged spleen, adverse effect of a medication. Please provide me with a copy of his CBC (complete blood count). The following investigations are required in order to identify the cause:

Blood films to exclude any abnormal cells.
Abdominal sonography to exclude enlarged spleen.
Bone marrow biopsy.

I strongly suggest Dexorange Syrup (Ferric Ammonium Citrate, Folic acid, and Cyanocobalamin) to help treat vitamin deficiency.