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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It Must To Take Vitamins And Mineral Tablets When Thalassemia Patient Has Fever?

My Mother's Thalassemia problems
Hello Doctors,

I would like to check the abovementioned.

My family are asian, Singaporean. My Mother is aged 75, many years ago, she was diagnosed that she has thalassemia, then doctor asked her not to intake 'iron'.

My mother has Depression and Insomnia illness, and taking Valium 10mg, Lexotan 20mg on night.

Lately, she often feel cold even in tropical hot weather like in Singapore. Beside, she often feel bodyache, headache and giddy.

We brought her for detailed blood test check again, and the adnormal results are as followed:
1) Haemoglobin - 10.70 g/dL (Low),
2) Haematocrit - 34.30 % (Low),
3) MCV - 69.30 fl (Low),
4) MCH - 21.70 pg (Low),
5) MCHC - 31.30 g/dl (Low),
6) RDW - 15.40 % (High),

This time, doctor said her thalassemia is worse then last time. Doctor prescribed her the following vitamins and minerals tabs:
1) Folic Acid tab - 5mg, OD
2) Calcium Carbonate 450mg & Vit D 200iu tab, OD
3) Vit B1 - 100mg, B6 - 200mcg, B12 - 200mcg. OD

However, after taken for a week, she claimed that bodyache and headache getting worst, and not able to sleep at all, and also the same often feel cold. As the doctor said her thalassemia is getting worst, no matter how she must intake the vitamins and minerals tab, even if she has flu and fever.

I would like to check is it a must to take those vitamins and minerals tab if she feel heaty, having flu and fever?

What could be any others alternative issue?

Thank you and look forward to hearing from you the soonest.

Best Regards,
Wed, 19 Nov 2014
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Hematologist 's  Response
Hi, dear
I have gone through your question. I can understand your concern.
Your mother may have thallsemia minor. Multivitamines like folik acid and B12 and minerals are useful in thallasemia patients. Her bodyache and headache has no relation with these tablets. She may have some infection or flu. Continue with vitamins and take treatment for your flu.
Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.
Thanks for using health care magic.
Wish you a very good health.
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Is It Must To Take Vitamins And Mineral Tablets When Thalassemia Patient Has Fever?

Hi, dear I have gone through your question. I can understand your concern. Your mother may have thallsemia minor. Multivitamines like folik acid and B12 and minerals are useful in thallasemia patients. Her bodyache and headache has no relation with these tablets. She may have some infection or flu. Continue with vitamins and take treatment for your flu. Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you. Thanks for using health care magic. Wish you a very good health.