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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Low HB Count In Child?

hello am Omar,My son is 3.5 yrs old.in june he was sick and looked pale.after blood test they found out his HB is 5.8.He got blood transfussion and it was 8.8.before discharged they did another test and it was 8.1 so they gave him another blood transfussion and it was 9.2. ten days after discharge we went for a checkup and his HB was 8.4,.A month later it was 9.6,two months which was 18th of oct is was 8.2 they did all the test possible but could not find the reason why low HB.the dr wants to see us next week,and he suggested that if its low then he has to do Bone marrow biospy........am worried! wat is happening .pls help
posted on Tue, 28 Oct 2014
Twitter Fri, 5 Dec 2014 Answered on
Twitter Mon, 8 Dec 2014 Last reviewed on
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Pediatrician, Pulmonology ,  's  Response
HI...I appreciate the fact that all tests have been done to know the cause of anemia. But has the haemoglobin electrophoresis been done before giving blood transfusions as it is crucial for diagnosing hemoglobinopathy or haemolytic anemia. I would also like to know if direct coombs test and retic count have been done or not. These are indirect pointers towards hemolysis and that of bone marrow function. ANA might throw some light on autoimmune haemolytic anemia.
Bone marrow biopsy is one good test which will be crucial for diagnosis as the blood components are produced in the body in the marrow only.
Regards - Dr. Sumanth
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What Causes Low HB Count In Child?

HI...I appreciate the fact that all tests have been done to know the cause of anemia. But has the haemoglobin electrophoresis been done before giving blood transfusions as it is crucial for diagnosing hemoglobinopathy or haemolytic anemia. I would also like to know if direct coombs test and retic count have been done or not. These are indirect pointers towards hemolysis and that of bone marrow function. ANA might throw some light on autoimmune haemolytic anemia. Bone marrow biopsy is one good test which will be crucial for diagnosis as the blood components are produced in the body in the marrow only. Regards - Dr. Sumanth