Thalassemia

Thalassemia is a blood disorder where the body produces an abnormal form of hemoglobin. It is an inherited disorder and is caused by either genetic mutation or deletion of some gene fragments. The symptoms are bone deformities, dark urine, tiredness, pale and yellowish skin, and poor or delayed growth.

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Please suggest a diet chart for thalassemia patient.

Query: Hi doctor, My brother is a thalassemia major subject. His age is 18 years and height is 5'4''. His hemoglobin is always maintained between 9 and 10 units. His weight is 38 now and drastically reducing. Nowadays he has been having headache and fever now and then. Sometimes he feels that his heartbeat...  Read Full »


Dr. Prakash H Muddegowda

Geriatrician, Hematologist, Pathologist

Answer: Hi, Welcome to icliniq.com. Based on your query regarding thalassemia, my opinion is as follows:1. Looking at a regular hemoglobin level of 9-10%, I would suggest you increase the levels. Maintaining at this level increases further erythropoiesis (production of red blood cells). Close to 12-13 g% ...  Read Full »

My brother has thalassemia intermedia. Please suggest how soon he can recover from this.

Query: Hello doctor,My brother has thalassemia intermedia. His Hb is between 7.8 to 9. Please suggest how soon he can recover from this.  Read Full »


Dr. Parth R Goswami

Family Physician, General Practitioner, Hematologist, Pathologist

Answer: Hello, Welcome to the icliniq.com. Thalassemia intermedia is severe as compare to thalassemia minor. In this condition, episodic blood transfusion is needed, especially during childhood. Your brother can be prescribed iron tablets if there is no improvement then blood transfusion might be required...  Read Full »

How to reduce my serum ferritin level?

Query: Hi doctor, My ferritin level is 1500, and I want to bring it down to 150. How much will one DFO IV session or each Exjade pill reduce the ferritin level on an average? I am a healthy individual, and I do not have HIV, HCC, or any other disease.  Read Full »


Dr. Parth R Goswami

Family Physician, General Practitioner, Hematologist, Pathologist

Answer: Hi, Welcome to icliniq.com. Your serum ferritin is high, so the cause should be found out first. It can be hemochromatosis, in which excess iron is stored in the bone marrow. Deferoxamine is used for increased iron storage in thalassemia patient. For high ferritin, phlebotomy is also another mode o...  Read Full »

What diet will you recommend for a beta major thalassemia patient?

Query: Hi doctor, My daughter, who is 2.5 years old, is suffering from beta major thalassemia. From her 3 months of age, blood has been transfused either once in 30 or 45 days after checking the blood level. I would request you to kindly advise a good and healthy food diet. Is there any important daily die...  Read Full »


Dr. Prakash H Muddegowda

Geriatrician, Hematologist, Pathologist

Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: Thalassemia is a disease due to reduced globin production in the hemoglobin part of RBC (red blood cells). It is not due to nutritional deficiency, but due to inherited mutation abnormalities. Yes, nutrition requires improvem...  Read Full »

Mine and my wife's blood group is B. Will it cause any problem in our married life?

Query: Hello doctor, My wife's and mine blood groups are the same. Both of our blood group is B. Will there be any problem in our married life?  Read Full »


Dr. Parth R Goswami

Family Physician, General Practitioner, Hematologist, Pathologist

Answer: Hi, Welcome to icliniq.com. There are two major blood group systems. ABO - According to this system, the blood group can be A, B, O, AB.  Rh system - According to this system, the blood group can be Rh positive or negative. You have not mentioned th...  Read Full »

Is my friend's beta thalassemia screening test normal?

Query: Hello doctor, My cousin of 30 years old got tested for beta thalassemia screening test. He got the result as hemoglobin A2 is 2.8 %, hemoglobin F is 0.2 %, hemoglobin C, D and S are not detected. Is this normal or has any complication? Please guide.  Read Full »


Dr. Prakash H Muddegowda

Geriatrician, Hematologist, Pathologist

Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: The beta thalassemia screening test appears to be normal. HbA2 levels (hemoglobin A2) are normally between 2-3.3% and HbF levels (fetal hemoglobin) are 0.1-1.2% for this age. Both are normal. The other hemoglobin type is HbA ...  Read Full »

Will vitamin D deficiency during pregnancy affect baby growth?

Query: Hi doctor, My wife is 29 years old and we have a 5 year old son. It was a premature delivery in the 34th week and it was a normal delivery. After that, she had three abortions and all are because of no fetal growth and heartbeat. Currently, she is 10 weeks pregnant. Her recent ultrasound scan sho...  Read Full »


Dr. Sonal Prasad

Childbirth Educator, Lactation Counselor, Obstetrician And Gynaecologist

Answer: Hello, Welcome to icliniq.com. The vitamin D levels are in deficient range and vitamin B12 levels are normal. There is no need to discontinue the pregnancy due to these values. Vitamin D supplementation will help to have adequate levels in baby. I suggest vitamin D supplementation Calcirol sachet 60...  Read Full »

Which is the best diet for someone with thalassemia major?

Query: Hi doctor,I am a patient of thalassemia major. My first blood transfusion was four months ago. There was no need for blood transfusion before that. I have no idea about my disease and now my blood transfusion has reached a count of eight times, meaning eight units in the last three months. I checked...  Read Full »


Dr. Smrita Singh

Pathologist, Family Physician, General Practitioner, Hematologist

Answer: Hello, Welcome to icliniq.com. In thalassemia major, there is a defect in the production of normal hemoglobin. This affects the oxygen-carrying capacity of the hemoglobin since it is defective. Regular blood transfusions and iron chelation therapy to prevent iron overload is the main treatment. Y...  Read Full »

Please advise on premarital health check up for males.

Query: Hello doctor, Please provide second advice on reports. I would like to know if any other tests I should undergo apart from the existing ones.  Read Full »


Dr. Atishay Bukharia

Cosmetologist, Dermatologist, Family Physician, General Practitioner, HIV AIDS Specialist, Plastic Surgeon, Venereologist

Answer: Hello, Welcome to icliniq.com. I have gone through your reports (attachment removed to protect patient identity). Please share your history or complaints. Regards. For more information consult an HIV AIDS specialist online --> https://icliniq.com./ask-a-doctor-online/HIV-AIDS-specialist  Read Full »

I have HbE disease, and my wife has HbE trait. How will it affect our baby?

Query: Hi doctor, My wife and I are both 29 years old. I have been diagnosed with hemoglobin E disease. My hemoglobin A is 68.7 g/dL, hemoglobin F is 9 g/dL, and hemoglobin E and A2 are 26 g/dL. And my wife has been diagnosed with a hemoglobin E trait. Her hemoglobin A is 9.1 g/dL and hemoglobin E and A2 a...  Read Full »


Dr. Parth R Goswami

Family Physician, General Practitioner, Hematologist, Pathologist

Answer: Hi, Welcome to icliniq.com. I have gone through your attached reports (attachment removed to protect patient identity) and history. Hemoglobin E disease or trait is an autosomal recessive condition. You are hemoglobin E disease patient, which means you are homozygous, and your wife has hemoglobin ...  Read Full »

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