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Hemoglobin count less - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   I am a 77 year old male. My recent hemoglobin ws 12.1 on a reference range of 13.0 -16.5. Is this something to worry about. Thanks.
Doctor :   hello
User :   Hi
Doctor :   do you have any symptoms ?
User :   Such as?
Doctor :   fatigue ? loss of appetite ?
User :   No
Doctor :   any other medical condition ?
User :   Well, I have several. 19 years ago 6 way heart bypass and recent angiogram showed 5 still functioning. Had no real complaints, but went to my doctor for a regular checkup and he diagnosied me with Iron Dificiency anemi - and questionable kidney failure and set me uip for an Gastroenterologist.
User :   My creatinine blood was 1.83.
Doctor :   was a endoscopy done ?
Doctor :   what did the Gastroentrologist said ?
User :   No, but I think they plan to do that somewhere down the road. He was also concerned bcause my PSA was 4.8 on a value of 4. and checked my prostate and said that it was smooth and not enlarged, but might be swollen and put me on a drug called Sulpha (something) and it really through my whole system out of whack. I thought 4.8 would be generally OK. I haven't been to the gastroenterologist as yet.
User :   I meant "Inflamed" instgead of swollen on my prostate.
Doctor :   well your PSA level are increased
User :   Frankly, he threw me into such a state of anxiety and concern. I read through aan online that it could be as high as 6.5 in males in the upper 70's
Doctor :   yes and there are many conditions that can cause a increase and its DOES NOT means by cancer only
Doctor :   but with a level more than 4 further evaluation is a protocol
User :   Well, he said an ejaculate could increase that and I did so the evening prior to the test.
User :   Can you explain your "Does Not" above, please?
Doctor :   usually a increase in PSA level is considered a marker for prostate cancer
User :   He has always said my prostate was small and smooth.
Doctor :   which is true
Doctor :   BUT at the same time there are other conditions like basic infections that can cause a increase
Doctor :   in your specific case its important that you should see a gastroentrologist, so that further tests can be performed
Doctor :   and we can pinpoint the exact cause
User :   If I were bleeding internally, would I not be knowing or having other symptoms? In my stools, etc.
Doctor :   yes it will be LESS THAN 11
Doctor :   you will have symptoms like fatigue
Doctor :   and blood in stools
Doctor :   your condition can be diet related too
User :   I've had none of that...and what are you referring to with the Less Than 11?
Doctor :   HB
Doctor :   your is 12
Doctor :   it does not show that you have a internal bleed as the level would be much low
Doctor :   you condition is not alarming but then yes once the tests are done we will get a clear picture
User :   OK...but thje values folr normal on hemoglobin are from 13.0 -16.5... and though I am low, you feel I should get the gastro done?
Doctor :   you should see a Gastro
Doctor :   thats the next best step
User :   What do you think of my Creatine Blolod at 1.83. My bun is 26
Doctor :   its high
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