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Maintaining good HB levels during pregnancy - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   hi
Doctor :   Hi
Doctor :   Iam.dr.ccccc
User :   nice to meet you
User :   my week is first month pregnant
User :   sorry wife is
Doctor :   ok
User :   recently she went through a blood test
User :   here hemoglobin was 15.1
Doctor :   ok
User :   i wanna ask is it normal
Doctor :   yes
Doctor :   normal range can be 12-16
Doctor :   what was her previous ones
Doctor :   did you check before?
User :   should she continue taking folic acid tabs
Doctor :   but usually with pregnancy the values will come down
Doctor :   due to hemodilution
User :   k
Doctor :   yes she should fro first 3 months
User :   this is her first test
Doctor :   did she check her hb before
Doctor :   was it high
User :   no
User :   she is pretty slim and has high metabolism
Doctor :   ok did you recheck ?
User :   does it related to that
Doctor :   no
User :   ok
Doctor :   in a disease called polycythemia rubra vera hb can high like 20 etc
Doctor :   it usually come for males
User :   ok
Doctor :   and can be hereditary
Doctor :   also hb rises with people who smoke
Doctor :   sho live in high altitude
User :   nope we are in bangalore from last one year
Doctor :   ok
Doctor :   since folic acid is required for rbc
User :   shall we go for recheck
Doctor :   it can also cause that
Doctor :   yes sure
Doctor :   do that soon form a difrnt lab
User :   ok
User :   is it matter of concern
Doctor :   no
User :   that time her wbc also came around 0000
Doctor :   do repeat that and see
Doctor :   it is high
Doctor :   was she ahving any infection
Doctor :   i mean cough cold
Doctor :   or wounds
User :   no
Doctor :   it happens in pregnancy sometimes
User :   she has some skin problem in face
Doctor :   did she any family history of blood diseases
User :   i mean redness kinda stuff
Doctor :   it comes with
User :   no
Doctor :   \pregnancy
Doctor :   called as chloasma
Doctor :   it is due to high hormones in blood now
User :   k
Doctor :   where are you meeting a gynaec dr now?
Doctor :   . Dehydration produces a falsely high hemoglobin which disappears when proper fluid balance is restored.
User :   we were meeting in manipal hospital
Doctor :   so drink 10-15 glasses of water
User :   k
Doctor :   as juice or palin
Doctor :   water
Doctor :   since she is lean
Doctor :   she might have some fluid loss
Doctor :   too
Doctor :   so do the repeat after good hydartion
Doctor :   dont worry
User :   her hieght is 5.6 and weight around 52 BP level are also normal
Doctor :   ok good
Doctor :   she will gain weight as months go ahead
Doctor :   mostly 8-10kg
User :   ok
Doctor :   so take folic acid
User :   ok
Doctor :   \as it helps
Doctor :   in brain growth
Doctor :   and lots of fresh fruits and veg
User :   i heard first 3 months are critical so wat precaution should we take
Doctor :   and also regular antenatal checkups
Doctor :   take two TT injections as well
Doctor :   avoid drugs ,travel
Doctor :   and also exertion,intercourse
Doctor :   etc
Doctor :   keep genital areas clean
User :   ok
Doctor :   as discharge can be high\
Doctor :   due to excess hormones
Doctor :   was scanning done
Doctor :   you need it thrice minimum
Doctor :   for the full pregnancy
Doctor :   did you confirm by a scan\
User :   not yet docter asked us to come after 3 weeks
User :   and do the scan
Doctor :   how weeks for her now?
Doctor :   you will get heart beats by 8-10 weeks
User :   approx 3 - 4
Doctor :   ok
Doctor :   you will see only the sac now
User :   ok
Doctor :   so keep doing the antenatal vists
Doctor :   and also hope you did the vdrl tests etc
User :   yes
Doctor :   try to take folic acid with DHA
Doctor :   since it helps in the brain growth
User :   what is DHA
Doctor :   docosa hexanoic acid
Doctor :   need for brain gowth
Doctor :   rich in fish,almonds etc
Doctor :   sardines ,mackerel
User :   ok
Doctor :   Thanks for consulting...
Doctor :   login anytime fro help
User :   thanks alot
Doctor :   Take care...
Doctor :   Bye for now...
Doctor :   BYE....
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