What Should Be Done When Hbg Is 9.8 And Mcv Is 68?
Question: hello doctor
as per your request my son is in elemental iron 100mg per day for another six months...
still hbg is 9.8 and mcv is 68 and smear study microcytic hypochromic ...
please advice for futher .. you told to do full renal evalution pls advice for the same
Brief Answer:
Further information required
Detailed Answer:
Hi
Welcome to Healthcare-Magic
Greetings of the day
I would kindly request you to get back to me with complete history and all the laboratory investigation done so far.
I would like to have the following information
1. Duration of symptoms
2. Any associated fever or other complaints
3. Any family history of anemia
4. Any urinary complaints
Will be glad to assist you further.
Take care
Best Regards
Dr Deepak Kishore
MBBS, MS, MCH
Consultant Pediatric Surgeon
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
hello doctor
1.we notice anemia at age of three, till now the maximum hbg was 10.1 gm/dl
lab investigation done in cmch vellore so far
a. variant hb analysis normal pattern ,no beta thal
b. negative for alpha thal..
c. negative for occult stool test
d. prolonged pt ., complete coagulation factor suggest mild factor seven deficient 21%
e. on elemental iron 100mg +celin 500mg for 18 months as advised by cmch
f. no history of bleeding so far
e. all other blood investigation like tyroid,iron studies ,eeg,electrolyte,calcium,vitd3 are normal
2. no fever for the past 2-3 years.,some flu like symptoms subside within 2 to 3 days
his ht 132 wt 25.5kgs., enlarged tonsils advice for surgery in cmch finally dropped due to
factor vii deficient., frequent ear infections controlled with augmentin
3. father hbg is 18 gm/dl and mother hbg is 11.4 gm/dl., younger sister hbg is 13.5 gm/d;
4. no urine complaints so far
pls advice for further
Brief Answer:
Bone marrow biopsy and urinary system evaluation
Detailed Answer:
Hi
Greetings
In the Presence of normal hematological parameters except low hemoglobin level, it's important to rule out selective rbc synthesis deficiency by doing Bone marrow aspiration/biopsy.
Could you provide me the peripheral smear report including reticulocyte count.
Also subclinical infection like Urinary tract infection (even in the absence of symptoms) Is to be ruled out as cause if chronic anemia.
It would be very useful and beneficial if you could provide me the peripheral smear report.
I will also discuss it with my Hematology colleagues and definitely will help you out in this matter .
Take care
Best Regards
Dr Deepak Kishore
Consultant Pediatric Surgeon
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
doctor
pheipheral smear study .as on dec 2013.... microcytic , hypochromia present ,
retics 0.60
thanks..
Brief Answer:
Has bone marrow biopsy been done?
Detailed Answer:
Hi
Greetings
Has bone marrow biopsy been done?
Further management and diagnosis can be arrived based on bone marrow biopsy.
CMC Vellore has one of the finest hematological department.
Take care
Regards
Dr Deepak
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar