Hi,I am Dr. Robert Galamaga (Hematologist). I will be looking into your question and guiding you through the process. Please write your question below.
I have been having many problems this year. Lower than normal platelets got to about 115,000 and just had a bone marrow biopsy that showed i have no iron showing in my marrow. My blood work showed slightly lower hemo and hemat levels. allong with some lower than normal protein levels. I was being treated for lupus, but I dont really think its lupus, I dont have all the symptoms of that. Any ideas? also i have endomitriosis, and had novasure done 2 years ago, and I have the implanon implant. So i no longer have menstral cycles. also lots of body aches hands feet knees hips and elbows. Seems like anywhere there is a joint. Not all the time, just sometimes.
Pathologist and Microbiologist, Dr. Jyothi B L's Response
Hi Thanks for your query. Based on your query and findings my opinion is 1. Iron deficiency anemia needs to be treated with iron supplements, oral or parenteral depending on your Hemoglobin levels. You can get a reticulocyte count done two weeks after starting iron therapy to check for response. 2. Also improve on your diet by taking iron rich food. 3. Joint pains is probably related to lupus as lupus affects multiple organ systems. You need to take analgesics and antiinflammatory agents till the symptoms subside. 4. Platelets are on the lower side of normal range, not to bother if there is no frank skin or mucosal bleeds. 5. All the parameters related to RBC will come to normal once Hemoglobin improves and iron deficiency is corrected Hope this helps Wish you good health
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Suggest Remedy For Iron Deficiency
Hi Thanks for your query. Based on your query and findings my opinion is 1. Iron deficiency anemia needs to be treated with iron supplements, oral or parenteral depending on your Hemoglobin levels. You can get a reticulocyte count done two weeks after starting iron therapy to check for response. 2. Also improve on your diet by taking iron rich food. 3. Joint pains is probably related to lupus as lupus affects multiple organ systems. You need to take analgesics and antiinflammatory agents till the symptoms subside. 4. Platelets are on the lower side of normal range, not to bother if there is no frank skin or mucosal bleeds. 5. All the parameters related to RBC will come to normal once Hemoglobin improves and iron deficiency is corrected Hope this helps Wish you good health