Night sweats, fever, fatigue, occasional bruising, taking iron supplements, done CBC, falling iron levels
Ferritin 29 , Calculated Iron Sat 13%. These are the lowest the #s have been and have been steadilly falling since last Oct. But has been really feeling bad the last several weeks. Just curious has to what to expect when we go to the hemaotologist and what your first impression is as to what might be going on. She also has some nausea that comes and goes and very low appetite with some weight loss. Thanks so much for your time.
Thanks for writing to us.
From the reports it is evident that she is anemic and there are chances of some bone marrow suppression due to which the adequate recovery is not happening in spite of all the efforts.
A bone marrow aspiration biopsy will clear the cause of such suppression. Sometimes this mild bone marrow suppression can be secondary to a viral infection in the recent past- decreases the synthesis of blood cells from the bone marrow.
Presence of any autoimmune disorders also needs to be ruled out.
The treatment is based on the diagnosis and severity of the problem.
Treatment is usually done by fluid infusion, steroids, immunoglobulins, blood transfusions, etc according to the severity of the condition.
I hope my answer and recommendations are adequate and helpful. Waiting for your further follow up queries if any.
Thanks for writing again.
Genetic predisposition is commonly seen in case of blood cancers. In your daughter's case, bone marrow suppression is more likely, which is less likely to have genetic predisposition.
High grade fever is due to infections that are flourishing due to low WBC counts.
Further investigations will help in diagnosis.
I hope, I have answered your query,
Wishing your daughter an early recovery.
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