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I have low transferrin and iron levels. Please help.
Query: Hello doctor, I have psoriasis for a long time for which I have been taking Methotrexate. Last week I got my iron studies and blood test done. My transferrin saturation, and total iron levels are low but hemoglobin is fine. Kindly advice. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Your transferrin saturation and iron level are mildly decreased, and your hemoglobin level is normal. So you do not have iron deficiency anemia, but it can be an early sign of iron deficiency. You need to investigate with serum ferritin level because that indicates i... Read Full »
What do my blood test values indicate, iron deficiency or over-absorption?
Query: Hi doctor,My TIBC 508, transferrin 363, transferrin saturation 17%, iron 85, and total LDH 109. Do these values indicate iron deficiency or over-absorption? I am on regular Synthyroid, Singulair, Prilosec, vitamin C, and oral contraceptives. Thank you. Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query and attached reports (attachment removed to protect patient identity), my opinion is as follows: It appears to be an early iron deficiency. Serum ferritin would have been more helpful in gauging the iron stores. Interaction between vitamin C and or... Read Full »
My wife has low hemoglobin. Can she travel abroad?
Query: Hello doctor,My wife went for a master's 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 check thes... 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 ch... Read Full »
Why am I bleeding heavily, six weeks after delivery?
Query: Hi doctor, I am currently (almost) 6 weeks postpartum. I had sex at 4 weeks of postpartum and I got the Nexplanon inserted a couple of days before that. My doctor checked to see whether my uterus was still up high and it was not. Also, I did not have any tearing during birth. My bleeding stopped at ... Read Full »
Answer: Hi, Welcome to icliniq.com. Please get yourself checked by a gynecologist internally and get a pelvic scan done to rule out the exact cause. Post delivery your body is tender and in a state of recovery. It is not yet ready to take so much stress and strain. Usually, this could be due to the Nexplan... Read Full »
My son's ferritin level is low. Can he take iron supplements?
Query: Hello doctor, I have a 16 year old son, he runs at the varsity level, for his high school, cross country, and track team. He is a distance runner. He recently had some blood tests done. His hemoglobin was 14.8 g/dL, hematocrit was 44.5 %, and ferritin was 23 ng/mL. I have been told by the team do... Read Full »
Answer: Hello, Welcome to icliniq.com. I will second your pediatrician and reassure you that, iron is for hemoglobin synthesis, and as the amount of hemoglobin is fine and he is actively taking part in long-distance sports I will not supplement iron. If you are being pressurized then the best alterna... Read Full »
Please review my wife's CBC reports.
Query: Hi doctor, My wife's iron and ferritin were low, so the doctor ordered CBC. CBC showed low WBC, high monocytes, and high RBC, which is what made us scared. She has schistocytes and elliptocytes among other RBC morphologies. We read about it and are very worried, and she had a C-section three years b... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I have gone through your wife's reports (attachment removed to protect patient identity). The report shows schistocytes, which are fragmented RBC (red blood cell), commonly seen in hemolytic anemia. So, to rule out hemolysis, serum LDH (lactate dehydrogenase), retic... Read Full »
Why do I have high platelet count and low hemoglobin?
Query: Hello doctor, My platelet count is higher 5,01,000 and my Hb is 9.2 gm %. I am very sick. What is the reason and is there any big problem in future? My age is 33 years and I am a female. Read Full »
Answer: Hello, Welcome to icliniq.com. It does not appear to be a matter of worry. You may have symptoms like easy fatigue, shortness of breath and palpitations, due to low hemoglobin. Do you have any symptoms other than what I mentioned above? Do you have a fever, weight loss, etc? Likely cause for the c... Read Full »
How to increase my wife's hemoglobin levels?
Query: Hello doctor, My wife's hemoglobin is only 6.7. Why is it so? What should I feed her to increase Hb level? Read Full »
Answer: Hi, Welcome to icliniq.com. Low hemoglobin is either due to blood loss or the body not being able to form enough blood due to various causes including bone marrow disorders. So, it is better to get her PBS (peripheral blood smear) done. Meanwhile, in diet and supplements, give her apples, pomegra... Read Full »
My daughter's hemoglobin and ferritin levels are low. Why?
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 thi... Read Full »
Answer: 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 re... Read Full »
I have a low ferritin level. Can taking Zincofer cause harm?
Query: Hi doctor, I am a 21-year-old female. My Hb level is 13, whereas my ferritin level is 14. What shall I do to improve my ferritin? Also, I feel fatigue, mood swings and hair fall. Please suggest me some supplements? I have been suggested with Zincofer. Will that tablet cause any side effect? Will my ... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: It is still early stage of iron deficiency anemia. Hemoglobin is normal, however, ferritin is low. Yes, Zincofer can be taken. However, any Ferrous Fumarate supplements or iron supplements can be taken. For better absorpt... Read Full »