Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Have Low Hemoglobin, Got Operated Twice Due To Accident. Have Prostate Problem And Hip Replacement. Cause?
Posted on
Tue, 27 Aug 2013
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Tue, 27 Aug 2013
Answered on
Thu, 10 Oct 2013
Last reviewed on
Question : my grandfathers haemoglobin is 3.7.he was operated two times in last two years because of accident..and the reason for decline in haemoglobin is not diagnosed.
he is having prostrate problem but did not operate.
he got his hip replaced two times in past two years.
he is having prostrate problem but did not operate.
he got his hip replaced two times in past two years.
Brief Answer:
Get Anemia profile blood test
Detailed Answer:
Hi,
It is really difficult to pin point the reason for such a low hemoglobin. However I would order Anemia profile blood test for your grandfather, that helps in understand the nature of the problem causing the drop in Hemoglobin.
It includes CBC, Serum Ferritin, Transferrin saturation, Serum Vitamin B12 and Folic acid. Do you have a recent test report of these?
Yes the operation would not be indicated for such a low hemoglobin. The chances of error are high.
Awaiting for your answer.
Get Anemia profile blood test
Detailed Answer:
Hi,
It is really difficult to pin point the reason for such a low hemoglobin. However I would order Anemia profile blood test for your grandfather, that helps in understand the nature of the problem causing the drop in Hemoglobin.
It includes CBC, Serum Ferritin, Transferrin saturation, Serum Vitamin B12 and Folic acid. Do you have a recent test report of these?
Yes the operation would not be indicated for such a low hemoglobin. The chances of error are high.
Awaiting for your answer.
Above answer was peer-reviewed by :
Dr. Aparna Kohli
now he is admitted in hospital
he is being given blood
am very worried
what can be the possible reasons for such a low haemoglobin?
can it be fatal
he is being given blood
am very worried
what can be the possible reasons for such a low haemoglobin?
can it be fatal
Brief Answer:
General condition is not good
Detailed Answer:
Hi,
They would prefer to give Packed cells. He should slowly recover. Once he recovers the reasons for low hemoglobin would be investigated. It could blood loss, nutritional commonly at this age. It needs a thorough investigation.
One such investigation that helps is anemia profile. The other that I would commonly suggest are stool microscopy. Some doctors routinely suggest endoscopy and colonoscopy as well to check if there is blood loss anywhere in the gut.
Do not worry now, let him recover, if hemoglobin is coming back to 7gm then the danger zone is passed.
Thank you.
General condition is not good
Detailed Answer:
Hi,
They would prefer to give Packed cells. He should slowly recover. Once he recovers the reasons for low hemoglobin would be investigated. It could blood loss, nutritional commonly at this age. It needs a thorough investigation.
One such investigation that helps is anemia profile. The other that I would commonly suggest are stool microscopy. Some doctors routinely suggest endoscopy and colonoscopy as well to check if there is blood loss anywhere in the gut.
Do not worry now, let him recover, if hemoglobin is coming back to 7gm then the danger zone is passed.
Thank you.
Above answer was peer-reviewed by :
Dr. Aparna Kohli
hello sir,
sorry i culdnt reply you back
actually my grandfather was given 4 bottles of blood last week
but now again his haemoglobin has dropped down to 5.9
there is a lot of tension
the reason for blood level falling is not beeing detected
now the doctors have told us to do bone marrow test
can u tell me wat it is and what can be deected from it?
how is the test done
what is the cost
nd basically what can be detected
plzz reply sir
sorry i culdnt reply you back
actually my grandfather was given 4 bottles of blood last week
but now again his haemoglobin has dropped down to 5.9
there is a lot of tension
the reason for blood level falling is not beeing detected
now the doctors have told us to do bone marrow test
can u tell me wat it is and what can be deected from it?
how is the test done
what is the cost
nd basically what can be detected
plzz reply sir
Brief Answer:
Bone marrow test is very important
Detailed Answer:
It helps to detect the root cause of fall in the hemoglobin from origin of the blood cells. It helps to detect leukemia (common term blood cancer)
I am not aware of the cost of it.
They pierce needle into the core of the bone (where marrow lies) and remove the content and send it for testing.
Let me know the results. I can explain it further.
Bone marrow test is very important
Detailed Answer:
It helps to detect the root cause of fall in the hemoglobin from origin of the blood cells. It helps to detect leukemia (common term blood cancer)
I am not aware of the cost of it.
They pierce needle into the core of the bone (where marrow lies) and remove the content and send it for testing.
Let me know the results. I can explain it further.
Above answer was peer-reviewed by :
Dr. Aparna Kohli
hello sir
the reports of bone marrow test have come but the doctors are not showing that
hey hav sent it to ranbaxy delhi
the just said that RBC's are not beeing manufactured in blood
and he is having Myeloid hyper plasia
now what is this
is this curable
for how long will he survive
please tell me everything related to this as soon as possible
the reports of bone marrow test have come but the doctors are not showing that
hey hav sent it to ranbaxy delhi
the just said that RBC's are not beeing manufactured in blood
and he is having Myeloid hyper plasia
now what is this
is this curable
for how long will he survive
please tell me everything related to this as soon as possible
Brief Answer:
The details are not clear for an opinion
Detailed Answer:
The questions that you had put forward have no definite answers as the nature of the problem is not clear. You had not shared enough of report with me. I am sorry about that.
Myeloid hyperplasia is just one factor and does not understand if there is a disease or not. We need a lot of answers like morphologic information on the cell lines in the bone marrow, Myeloid and Erythroid ratio presence of any blast cells.
Even when you bring this information to me I would not be able to comment you the next step as that would be out of my expertise, I would refer you to a Hematologist or Hemato-Oncologist.
The details are not clear for an opinion
Detailed Answer:
The questions that you had put forward have no definite answers as the nature of the problem is not clear. You had not shared enough of report with me. I am sorry about that.
Myeloid hyperplasia is just one factor and does not understand if there is a disease or not. We need a lot of answers like morphologic information on the cell lines in the bone marrow, Myeloid and Erythroid ratio presence of any blast cells.
Even when you bring this information to me I would not be able to comment you the next step as that would be out of my expertise, I would refer you to a Hematologist or Hemato-Oncologist.
Above answer was peer-reviewed by :
Dr. Aparna Kohli
okay thankyou so much sir
Brief Answer:
Please close and rate the discussion
Detailed Answer:
I will be available for any support that you need during the course of illness or treatment for your grand father.
You can utilize it as professional support. For now you may close our discussion here.
Please close and rate the discussion
Detailed Answer:
I will be available for any support that you need during the course of illness or treatment for your grand father.
You can utilize it as professional support. For now you may close our discussion here.
Above answer was peer-reviewed by :
Dr. Aparna Kohli
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
