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What Causes Sudden Drop In Hemoglobin When Suffering From Hashimoto's Thyroiditis?
Question: Hi, I am 51 years old, female. Have hashimoto's thyroiditis and Crohn's Disease, i have extreme fatigue, abdo pain, muscle aches at the moment. ESR 41, CrP 15, Hb dropped from 131 to 125 in 2 weeks. I am on rectal cortisone foam and oral cortisone at the moment. What can cause my HB do drop so fast?
Brief Answer:
Mucosal ulcers and mild bone marrow suppression
Detailed Answer:
Hi,
Thanks for asking.
I am Dr. Jyothi BL and I will be answering your query.
Based on your clinical history and query, my opinion is as follows:
1. It is very mild drop in hemoglobin, and for your age, it is still within normal limits. A 20 or 30 drop would have been significant (2g-3g%)
2. Mucosal ulcers in Crohns disease could be leading to bleeding in gut leading to anemia is one possible explanation.
3. Second explanation or additional cause could be mild suppression of bone marrow leading to reduced production of cells due to oral cortisone.
Hope it helps
Any further queries, happy to help again.
Dr. Jyothi BL
Mucosal ulcers and mild bone marrow suppression
Detailed Answer:
Hi,
Thanks for asking.
I am Dr. Jyothi BL and I will be answering your query.
Based on your clinical history and query, my opinion is as follows:
1. It is very mild drop in hemoglobin, and for your age, it is still within normal limits. A 20 or 30 drop would have been significant (2g-3g%)
2. Mucosal ulcers in Crohns disease could be leading to bleeding in gut leading to anemia is one possible explanation.
3. Second explanation or additional cause could be mild suppression of bone marrow leading to reduced production of cells due to oral cortisone.
Hope it helps
Any further queries, happy to help again.
Dr. Jyothi BL
Above answer was peer-reviewed by :
Dr. Ashwin Bhandari
Anything I should do in the interim? I see the gastro enterologist is a week.
Brief Answer:
Improve nutrition. Do not stop medication.
Detailed Answer:
Hi,
Thanks for asking again.
Do not stop the medication.
You can add eggs, fish, red meat into your diet in moderate amounts along with green leafy vegetables.
Next time when you are getting a lab test done, get an additional reticulocyte count and fecal blood test done.
Any further queries, happy to help again.
If you do not require any further clarifications, you can close the discussion and rate the answer.
Dr. Jyothi BL
Improve nutrition. Do not stop medication.
Detailed Answer:
Hi,
Thanks for asking again.
Do not stop the medication.
You can add eggs, fish, red meat into your diet in moderate amounts along with green leafy vegetables.
Next time when you are getting a lab test done, get an additional reticulocyte count and fecal blood test done.
Any further queries, happy to help again.
If you do not require any further clarifications, you can close the discussion and rate the answer.
Dr. Jyothi BL
Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now
Above answer was peer-reviewed by :
Dr. Ashwin Bhandari
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