Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

150 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suggest treatment for low RBC inspite of having blood cancer

Answered by
Dr.
Dr. Prasad

General & Family Physician

Practicing since :2005

Answered : 2788 Questions

default
Posted on Mon, 4 Aug 2014 in Blood Cancer(Leukemia)
Question: My wife has cancer of the blood and gets low levels of (1) Red Blood cells from normal to "2.7" and (2) low levels of Hemoglobin down to 7.5 in two weeks and 6.7 in three weeks.
She gets 2 to 3 pints of blood about every 2 to 3 weeks to keep her Red Blood cells and Hemoglobin at low, normal.
Is this all that can be done or is there a drug / or shot she could take to keep her Red Blood cell and Hemoglobin at "normal levels"?
doctor
Answered by Dr. Prasad 10 hours later
Brief Answer:
The choice of treatment is based on tolerance...

Detailed Answer:
Hi,

I went through the details provided and I am sorry for her condition.

I understand it is cumbersome and strenuous efforts to transfuse her blood very often. However at this point of time, I feel that is the most safest and best method to improve red blood cells.

Blood cancer growth overtakes normal red blood cell production and over a period of time it uses up resources (erythropoietin stem cells) thereby leading to low red blood cells and hemoglobin. Oncologist try to prevent blood cancer cell growth with medications (chemotherapy) and radiations in an effort to stimulate / favor normal blood cell production. However the current available treatment has plenty of side effects. I am not sure your wife at the age of 83 will be able to tolerate those side effects. In such situation the next best option is to transfer new bone marrow cells from compatible host (donor).

Since the two available options are not so easily tolerated at this age, her treating doctors have decided repeated blood transfusion as the option. I agree with this decision.

Hope this helps. Let me know if you need clarifications.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Drug/Medication
Treatment/Therapy
Medical Procedures
Medical Topics ,  

Recent questions on  Erythropoietin

doctor1 MD

I had kidney transplant in 2002.Now I am 63.My creatin level is presently hovering around 5 since last two years.I am on steroid,omnacortil 5 with MYCEPT 750 BD. At present I am suffering very badly from chronic gas problem .Previously I had been...

doctor1 MD

My husband, an ESRD on dialysis 3X weekly is taking epoietin alfa during his bi Monday dialysis treatment. This is because he's scheduled to have mitral value repair (not stent ) surgery on 7/31/17 & for religious reasons, doesn't accept blood...

doctor1 MD

I have been diagnosed with the following: hypothyroidism (2002), membranous nephropathy (2013) ( glomerulonephritis and proteinuria), gout (2015), a DVT (9/16), myelodysplasia (12/16) (refractory cytopenia with multilineage dysplasia) (Aranesp...

doctor1 MD

Hi I am Nurul Haque from Bangladesh, my wife Ms. Nasrina Haque is suffering for the following, pls give me a better suggestion:-Investigation : Anti-HCV Patient Value : 2.536 Cut-off Value : 0.155 Interpretation: Positive (23)Method: ELISA Treatment : Injection-Peginterferon alfa & Epoetin Beta

doctor1 MD

I have been taking dialysis for few years. recently my haemoglobin level reducing day by day. i feel weak, very weak. i take erythropoetin injection regularly. accept this i have to take fresh blood also. i don't want to take blood. i want to live normal life. is it possible?

doctor1 MD

Hi Sir,my uncle has been diagnosed wid Diabetic nephropathy and is currently on dialysis....2times a week.before dialysis his creatinine value was 8.9.the blood haemoglobin level had also dropped and he needed blood transfusion(twice)..and now is being given erythropoietin injections too.I would like to know what is the prognosis and how can we procceed with his treatment further.Thank you.

doctor1 MD

I am 53 years old and have had asthma my entire life. I was explained yesterday that I have a high amount of red blood cells and they asked me if I spend a lot of time in the mountains. Is it normal for asthmatics to have high red blood cell count because of the breathing ?