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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Low Hemoglobin And High Esr Levels

i am 54 years old men. my haemoglobin range is 7.5 & esr is 120.my bone marrow & other investigation done.i have fatty liver & enlarge spleen.other wise all the report was allright.ocationaly haemoglobin range fall down.and esr level is always high.so what can i do.
Tue, 15 Jul 2014
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Geriatrics Specialist 's  Response
Hi,
Welcome and thanks for asking.
Low hemoglobin and high ESR suggests a definite chronic inflammation.
Common causes include multiple myeloma and tuberculosis. As bone marrow is already investigated, other investigations are required as follow:
1. C-reactive protein levels
2. Screening for antibodies - ANA
3. Type of anemia - and 7.5 is low at this age and needs to be aggressively treated.
Further followup can be done after investigations.
Any further query, happy to help again.
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Suggest Treatment For Low Hemoglobin And High Esr Levels

Hi, Welcome and thanks for asking. Low hemoglobin and high ESR suggests a definite chronic inflammation. Common causes include multiple myeloma and tuberculosis. As bone marrow is already investigated, other investigations are required as follow: 1. C-reactive protein levels 2. Screening for antibodies - ANA 3. Type of anemia - and 7.5 is low at this age and needs to be aggressively treated. Further followup can be done after investigations. Any further query, happy to help again.