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What Causes Variation In Hemoglobin Levels And Constipation While Inhaling Hemoglobin Tablets?

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Posted on Wed, 27 May 2015
Question: Hi
I am XXXX (age-44 years male)
my hemoglobin level varies from 9 - 9.5% if i take medicine then level increases to 12-13% in a month, after that again level decreses. Second problem arises for constipation during course of inhaling hemoglobin tablets. kindly recommend the medicine to improve hemoglobin with less problems of constipation.
Thanking You,
XXXX
doctor
Answered by Dr. Hardik Sanghvi (20 minutes later)
Brief Answer:
You need to search the cause of low hemoglobin.

Detailed Answer:
Hi, dear
I have gone through your question. I can understand your concern.
Your hemoglobin level is low.
You should search the cause of low hemoglobin first.
It can be due to iron deficiency, vitamin B12 deficiency or some other cause like chronic blood loss or chronic disease.

You should go for complete blood count with blood indices, peripheral blood smear and anemia profile. You should also go for ultrasound abdomen to rule out the cause of gastrointestinal bleeding.

Then you should take treatment accordingly.

Please give me follow up with your reports. So that I can help you further.

Hope I have answered your question, feel free to ask me any further questions.
Thanks for using health care magic.
Wish you a very good health.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Hardik Sanghvi (7 days later)
Hi, I have provided some attachments. Please review them.
doctor
Answered by Dr. Hardik Sanghvi (2 hours later)
Brief Answer:
You have vitamin B12 deficiency.

Detailed Answer:
Hi, dear
I have gone through your question. I can understand your concern.
Your vitamin B12 level is low. Your mcv and mch is also slightly low. So there may be some iron deficiency also.

You should go for ultrasound abdomen and serum iron and ferritin level.

For vitamin B12 deficiency you should take vitamin B12 supplements.

Your liver function test and kidney function test reports are normal.

Your lipid profile test suggest low HDL and borderline high triglycerides level. You should take low fat diet with high amount of polyunsaturated fatty acids.

Go for ultrasound abdomen and ser iron and ferritin level. Give me follow up with this reports. Take vit b12 tablets according to your doctor's advice.

Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Hardik Sanghvi (31 minutes later)
As suggested by Dr. XXXXXXX Sangvi, the lab report is uploaded. Kindly suggested the medicine to improve hemoglobin level with less constipation problem. Also request to suggest the routine diet to improve the same.

Thanking You,
XXXX
0000
doctor
Answered by Dr. Hardik Sanghvi (8 minutes later)
Brief Answer:
You should take injectable vit B12 or oral vitamin B12.

Detailed Answer:
Hi, dear
You have vitamin B12 deficiency.

You should take oral vit b12 supplements like neurobione forte tablets or you can take injectable vit b12 like vitcofol.
It is prescription based medicine so consult your doctor and take treatment accordingly.

You should take iron rich food like dates, green leafy vegetables, dry fruits, jeggary etc.

For constipation you should take high fiber diet with green leafy vegetables. Drink plenty of water. It will help you to control your cholesterol level. 1 teaspoon isapgul with milk or water at night is very good to control constipation.

You should also go for ultrasound abdomenIince to rule out any gastrointestinal bleeding.


Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Hardik Sanghvi (16 hours later)
As suggested by Doctor i will go for ultrasound abdomen test
doctor
Answered by Dr. Hardik Sanghvi (3 minutes later)
Brief Answer:
Ok. Give me follow up with that report.

Detailed Answer:
Hi, dear
Please give me follow up with your report of ultrasound abdomen test.
Start vitamin B12 supplements according to your doctor's advice.

I will wait for your reports.
Thanks for using health care magic.
Wish you a very good health.
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. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Hardik Sanghvi

Hematologist

Practicing since :2008

Answered : 7043 Questions

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What Causes Variation In Hemoglobin Levels And Constipation While Inhaling Hemoglobin Tablets?

Brief Answer: You need to search the cause of low hemoglobin. Detailed Answer: Hi, dear I have gone through your question. I can understand your concern. Your hemoglobin level is low. You should search the cause of low hemoglobin first. It can be due to iron deficiency, vitamin B12 deficiency or some other cause like chronic blood loss or chronic disease. You should go for complete blood count with blood indices, peripheral blood smear and anemia profile. You should also go for ultrasound abdomen to rule out the cause of gastrointestinal bleeding. Then you should take treatment accordingly. Please give me follow up with your reports. So that I can help you further. Hope I have answered your question, feel free to ask me any further questions. Thanks for using health care magic. Wish you a very good health.