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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It To Be Concerned About Low Hemoglobin Level?

Good Day Doctor,



My mother who is 5.1 with wt 78 kgs with corolled diabetic level (Fasting: 62, After Food: 127).



I tested for my mother the haemoglobin level which showed only 9 . The level was said to be low. Can you plz guide me what are the checks I shoud do? What are the food she should take? Is there any possibility for bone marrow test to be done?



Looking forward for your support plz.



Thanks,

Manish
Fri, 1 Aug 2014
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Geriatrics Specialist 's  Response
Hi,
Thanks for asking.
Based on your clinical history and query, my opinion is as follows:
1. She will require to be evaluated for red cell indices or a peripheral smear.
2. Red cell indices include MCV, MCH, MCHC and RDW
3. Peripheral smear will also identify the morphological type of anemia.
4. Reticulocyte count is necessary before start of treatment and also 15 days after start of treatment, to evaluate bone marrow function.

Hope it helps.

Any further queries, happy to help again.
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Is It To Be Concerned About Low Hemoglobin Level?

Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows: 1. She will require to be evaluated for red cell indices or a peripheral smear. 2. Red cell indices include MCV, MCH, MCHC and RDW 3. Peripheral smear will also identify the morphological type of anemia. 4. Reticulocyte count is necessary before start of treatment and also 15 days after start of treatment, to evaluate bone marrow function. Hope it helps. Any further queries, happy to help again.