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Suggest Treatment For Low Hemoglobin Levels

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Posted on Mon, 9 Feb 2015
Question: Hi. My husband underwent a coiling for an unruptured brain aneurysm in February of 2014. Unfortunately, the aneurysm ruptured during the coiling and he was hospitalized for 51 days. He is home and back to work on a limited basis, and is generally doing well, but his blood count is a bit off. During his hospitalization, but prior to the rupture, we learned that his platelet count was low 115. His wbc was 5.1, and his rbc was 4.36, hemoglobin 13.7.. My husband had not had any blood work done in many years, so we have no prior records.. After his release from the hospital in April, his white blood cell count has also been low, . His primary care doctor has been testing him on a regular basis, since May 2014, his wbc has been: 3.3, 3.6, 3.5, 4.1, 3.5 .. His platelet count has been: 123 (this was upon release from the hospital where I believe he was given platelets during his surgeries), 107, 105, 97, 103, & 106. He was released from the hospital with anemia, and his numbers improved after release (with one exception): RBC 3.3, 4.34, 4.02, 4.39, 4.34. His primary care doctor has not referred him to a hematologist and when asked has said there is no need. But, I wanted to check and get a second opinion. I have health anxiety (about his health, not my own), and I don't want to unnecessarily drag him through doctor after doctor and test after test, given what he has already been through, but I am also afraid of being too complacent and not having him checked by someone else, if there is a need. Sorry for the long post., and thank you in advance for your help.
doctor
Answered by Dr. Dr. Erion Spaho (51 minutes later)
Brief Answer:
Second opinion will clear up your concerns.

Detailed Answer:
Hi, I had gone through your question and understand your concerns.

Having a second opinion from a Hematologist about the cause of your husband's anemia is a normal process that will calm down your health related anxiety.

I think anemia was there from a long time.

A cause of anemia should be assessed ( iron deficiency, vitamin B12 deficiency, megaloblastic anemia, etc) and a treatment
should be started to restore normal blood components values in order to be safe in case of future health issues.


Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Dr. Erion Spaho (2 hours later)
My husband does not have anemia. He has low platelet and low wbc count.
doctor
Answered by Dr. Dr. Erion Spaho (20 minutes later)
Brief Answer:
Low white series count.

Detailed Answer:
Hi again.

There is a white series of blood low count, and in the beginning there was and red series low count.

From values you report, there is nothing that needs urgent evaluation.

Just to be shure a second opinion is of value and maybe a treatment to achieve normal values.

Hope this helps. Wishing you and your husband's good health.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Dr. Erion Spaho (1 hour later)
Thank you so much for answering my question! Have a good evening.
doctor
Answered by Dr. Dr. Erion Spaho (32 minutes later)
Brief Answer:
Good evening you too.

Detailed Answer:
Best regards.
Above answer was peer-reviewed by : Dr. Shanthi.E
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Answered by
Dr.
Dr. Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4492 Questions

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Suggest Treatment For Low Hemoglobin Levels

Brief Answer: Second opinion will clear up your concerns. Detailed Answer: Hi, I had gone through your question and understand your concerns. Having a second opinion from a Hematologist about the cause of your husband's anemia is a normal process that will calm down your health related anxiety. I think anemia was there from a long time. A cause of anemia should be assessed ( iron deficiency, vitamin B12 deficiency, megaloblastic anemia, etc) and a treatment should be started to restore normal blood components values in order to be safe in case of future health issues. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.