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What is the reason for my decreasing hemoglobin levels?

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Patient's Query

Hello doctor,

I am a 31-year-old female. My hemoglobin is going down after bone marrow aspiration and biopsy, or due to the medicines I am taking. I am taking Wysolone 25 mg daily and Danazol 200 mg twice a day for 12 days.

Please advise.

Thank you.
Answered by Dr. Singh Smrita

Education:

MBBS

Professional Bio:

Dr. Singh Smrita is a General Practitioner and a Family Physician specializing in Pathology and Hematology. She has expertise in diagnosing and managing blood disorders, anemia, infections, and immune-related conditions. She is skilled in laboratory diagnostics, interpretation of blood tests, and personalized treatment plans. Dr. Singh also focuses on preventive care, patient education, and holistic management of chronic diseases.

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Hello,

Welcome to icliniq.com.

I understand your concern.

As per the reports (attachment removed to protect patient identity), only the serum ferritin levels are quite elevated, along with reduced RBC (red blood cell) count and hemoglobin levels. This picture is indicative of ineffective erythropoiesis, which can be due to either a chronic inflammatory disease or immune-mediated anemia.

The treatment that you are receiving, that is, Wysolone (Prednisolone) and Danazol, is used to treat immune-mediated anemia or thrombocytopenia (in which the platelet count decreases). The fall in hemoglobin is not due to the bone marrow biopsy or the drugs. These drugs take time to show a noticeable difference. Please be a little patient.

I would suggest you get a CBC (complete blood count) done after a month of taking the drugs. If the hemoglobin continues to decrease, you need to consult with your hematologist again.

I hope this helps you.

Please feel free to follow up if you have any queries.

Thank you.

Medically reviewed by iCliniq medical review team
Published At May 23, 2018
Reviewed At June 23, 2026

Education:

MBBS

Professional Bio:

Dr. Singh Smrita is a General Practitioner and a Family Physician specializing in Pathology and Hematology. She has expertise in diagnosing and managing blood disorders, anemia, infections, and immune-related conditions. She is skilled in laboratory diagnostics, interpretation of blood tests, and personalized treatment plans. Dr. Singh also focuses on preventive care, patient education, and holistic management of chronic diseases.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Singh Smrita
Dr. Singh Smrita

Hematology

Consult this doctor

Education:

MBBS

Professional Bio:

Dr. Singh Smrita is a General Practitioner and a Family Physician specializing in Pathology and Hematology. She has expertise in diagnosing and managing blood disorders, anemia, infections, and immune-related conditions. She is skilled in laboratory diagnostics, interpretation of blood tests, and personalized treatment plans. Dr. Singh also focuses on preventive care, patient education, and holistic management of chronic diseases.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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