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Suggest treatment for iron deficiency anemia - Online Doctor Chats

Date : 28-Sep-2014
User rating for this question
Very Good Posted in: Blood Disorders
Answered by

General & Family Physician
Practicing since : 2009
Answered : 983 Questions
User:Hi
Doctor:Hi
Doctor: Please proceed with your query.
User:I have low hb
User:hb is 6.6
Doctor:ok
User:because of iron deficiency
User:iron level is 16
User:and I have problem of sperm count,It's 10
User:so is the both related?
User:what is the treatment for this?
User:best treatment?
Doctor:Firstly iron deficiency anemia is treatable
Doctor:Best treatment for iron deficiency is oral iron supplements
Doctor:Your Hb is quite low
Doctor:Do you have symptoms?
Doctor:Since you may need whole blood transfusion
User:no symptoms
User:i am doing all the works as usual and daily 1 hour walk and 30 min yoga
User:I have consulted a doctor(general physician) she suggested the blood transfusion
User:is their any side effects/dis advantages of blood transfusion?
Doctor:If the anemia is putting stres on your heart, then transfusion is a must
User:I have done the stress test and the reports are normal
Doctor:ok
Doctor:How about vitamin B12 levels and folic acid levels
User:i didn't do those tests
User:I have done hemoglobin electrophoresis and the reports are normal
Doctor:ok
Doctor:That is reassuring
Doctor:Most probably it is exclusive iron deficiency
Doctor:Are you a vegetarian or non vegetarian?
User:veg
Doctor:So you must be low in folic acid and vit B12
Doctor:My suggestion is
Doctor:First get blood checked for vit B12 and folic acid
User:ok
User:can suggest the best hospitals to join around marthahalli
Doctor:Watch out for any signs of occult bleed somewhere like urine or stools
Doctor:After getting B12 and folic acid checked, go for heamitinic like dexorange syrup
Doctor:Occult bleed can be checked with urine analysis and fecal occult blood test
Doctor:There are many hospitals there
User:i have insurance so i will join and do the tests and if require blood transfusion
Doctor:Manipal is a cheaper hospital, while yashomati, fortis, apollo are also good ones
Doctor:ok
User:yashomati is good?
Doctor:Yes it is
User:how much it's cost approx?
Doctor:You will need to check with them
User:how many times the blood transfusion require?
Doctor:Preferably consult a hematologist
User:is everything will be done in one sitting?
Doctor:One unit of blood raises hb by 1 gm
Doctor:Not really
User:ok
Doctor:Actually it depends on many factors
Doctor:If everything goes well, you find your blood type etc, it may be done in one day
User:is there any disadvantages of blood transfusion?
Doctor:Sometimes reactions, infection etc may happen
Doctor:The transfused blood may not match your blood completely
Doctor:In such a case your body may reject the transfusion
Doctor:Someimes blood may harbor some kind of infection which may be transmitted
Doctor:It is a rule to check for hepatitis and HIV infections in transfused blood
User:they(hospital) will do the tests for this and proceed for the blood transfusion right?
Doctor:Yes
User:ok
User:I have done the master health check up and all the reports are normal except HB
User:and my sperm count is also less
Doctor:That is a good thing that all other tests are normal
Doctor:ok
Doctor:Sperm count is unrelated to hb
User:is the HB and sperm count have any relation?
Doctor:No
User:how to know why my sperm count is less
User:i am using medicines from past 2 months for increase of count
User:but no improvement
Doctor:Which medicine you are using?
User:maxoza l 50mg 1-0-1, and ubphine 25mg 0-0-1
User:for one month
Doctor:ok
Doctor:I think that we first focus on raising the hb
Doctor:When it is raised
Doctor:we check sperm count again
User:i have checked it again recently
User:there is no improvment
Doctor:Maxoza has some herbal medicines
Doctor:If it is not working you may discontinue it
User:I have used paterina(1-0-1),zincovit(0-0-1) for one month
Doctor:I have never heard of ubphine
User:my motility and morphology is normal
Doctor:I have not heard about paterina too
User:we are trying for a baby from past 8 months
Doctor:ohk
User:please help us mam
Doctor:there are better alternatives like intrauterine insemination
Doctor:It will save you from going for so many medicines
User:I like to do in natural way
Doctor:Intrauterine insemination is also safe
User:what causes the sperm count low
Doctor:Many causes like infection, trauma, chronic disease
Doctor:That is why I suggested you to first normalize your hb
User:I have done all the test all are normal
Doctor:Mostly no cause is found
User:except FSH is 8.1
User:we have a lot of pressure form parents an relatives
Doctor:Stress can also cause it
User:ok
Doctor:Many couples do not conceive the first year
User:ok,we married 2.5 years before
Doctor:Your FSH is normal
Doctor:ok
Doctor:You can try for 3-4 more months
Doctor:If it does not happen, then go for IUI
Doctor:It is not same as test tube baby
User:how much is the success rate for IUI?
Doctor:It depends
Doctor:But its high
Doctor:since everything else seems to be normal
Doctor:so if your partner is ovulating, it has high success rate
User:I want to find the problem for sperm count and fix it permanently but not finding what is the problem
User:from my wife side everything is normal
User:ovulating correctly and size is also 21X21
Doctor:ok
Doctor:So that is good
Doctor:You just have low hb, all other tests are normal
Doctor:So I am assuming there is no cause for low sperm count
Doctor:Your hb will increase by 3 g in 3 m
Doctor:So after 3 months repeat your hb and sperm count
User:ok
User:manipal is cheaper or yasomathi is cheaper?
Doctor:Manipal
User:ok
User:can I continue using paternia tablets as well?
Doctor:I would suggest against it
User:means?
Doctor:Maxoza has similar constituents
Doctor:Moreover their efficacy is not established in research
Doctor:They may have unknown side effects
Doctor:Talk to your fertility specialist about iui
User:he also suggested the same as you said
User:try for 2-3 months naturally ,if not comes meet me after 3 months
Doctor:That is the way to go then
Doctor:Till then do not stress out
Doctor:Keep doing your yoga
Doctor:and leave the rest to nature
User:ok
User:I wont use the these(Maxoza and paterna) then
Doctor:sure
Doctor:Whenever you take any medicine, check its side effects on internet
Doctor:or with your doctor
User:ok
User:thanks for your valuable suggestions
Doctor:Thanks for coming on chat
User:First i will increase my HB by joining to manipal
Doctor:ok
User:then i will see the sperm count later
Doctor:yes
User:thanks mam
User:good night bye
Doctor:Thanks
Doctor:Take care
Doctor:Good night
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