Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
120 Doctors are Online

Suffering from CKD, anemia, diabetes, hypertension. Fatigue due to low hemoglobin, insomnia, elevated heart rate. How to increase Hb level?

Hi Doctor, My Mother is suffering from the CKD with severe Anaemia . Below ia the details Age: 63 Years DM: Since 2007 High BP: Since 2002 First CKD Diagnosed: Dec 2008 S. Creatinine: 2.6 Urea: 52 Haemoglobin: 4.3 After the Cataract operation on Jan 2012, Her health is down day by day. From March 2012, we used to do the blood transfusion of 2-3 unit once in 20-25 days. She is on complete diet as suggested by the dietician. Present Complaints: 1) Severe Weakness in whole body due to the Low HB count. we already had Erythroprotien inj like Vintor 0000unit, Cresp 2.5 mcv, & Eprex 4000 unit for monthy doses but no result. 2) Insomania( Not able to sleep at night), Although she is taking the Amlovas for the same. 3) Blowing sound on ear. 4) Heart beat increases continuosly throughout the day. Medication: Cudo Forte 0-0-1 Sobeasis Forte - 0-0-1 Glucobay- after meal 0-1-0 Nuroday : 1-0-0 Folvite: 0-0-1 Renal Resource Powder Sir, Please suggest us the solution for improving her HB level, so that other things will also improve simultaneoulsy. Many Thanks Shiva 0000
Asked On : Thu, 3 Jan 2013
Answers:  1 Views:  95
Report Abuse
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Procedures
Medical Topics
Nephrologist 's  Response
Hi Shiva. Thanks for the detailed history. Make my life much better when I get a good summary of the problems and list of medications! People with advanced CKD have deficiency of production of erythropoietin (EPO) and hence need it as injections. That along with replacement of any deficiency of the following - iron, Vitamin B12 and folate should be sufficient. Your mother has something more than simple EPO deficiency. Kindly consult a haematologist ASAP. She will need more tests and a 'Bone Marrow' exam (if not already done) to diagnose the cause of severe anemia. Best wishes.
Answered: Fri, 2 Aug 2013
I find this answer helpful

 1 user finds this helpful

Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]


Loading Online Doctors....
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor