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Whom to consult when diagnosed with sickle cell anemia and thalassaemia traits?

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Posted on Tue, 22 Sep 2015
Question: My son who is two just had a blood test Nd they said he is a carrier of sickle cell anemia and may also be a carrier of thalassaemia but the dr kept saying he doesnt have a blood disorders however he wants us to see a haematologist at the childrens hospital. I am so worried and congused if he doesn't have a blood disorder why are we seeing a haematologist. What does this mean?
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Answered by Dr. Hardik Sanghvi (1 hour later)
Brief Answer:
You should go for Hb chromatography.

Detailed Answer:
Hi, dear
I have gone through your question. I can understand your concern. Your son may have sickle cell trait with beta thalassemia minor. Many people have this type of hemoglobin disorder and they spend their lives normally without any major problem. But you should confirm your diagnosis. Your son should go through Hb chromatography test. It will give clear idea regarding above situation.
Nothing to worry about that. Just go through test and send me reports. If you have already gone through this test and send me his report so that I can help you further. If your son doesn't have any symptoms right now then no treatment is required. But hematologist consultation is required for counselling and future plan.

Hope I have answered your question. If you have any doubts then feel free to ask me. 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. Vinay Bhardwaj
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Follow up: Dr. Hardik Sanghvi (7 hours later)
Hi dr is it possible that he has sickle beta thalassaemia. the dr who spoke to me on the phone exact words were "he doesn't have a blood disorder he has sickle cell trait and a possible thalassaemia trait". the odd thing is we dis ivf to have him and they tested us before and I think for memory they said one of us had sickle cell.trait but the other had normal blood. So is it even possible that he inherited Two defective genes? also is what he possibly has different from a full blown blood disorder?
doctor
Answered by Dr. Hardik Sanghvi (15 hours later)
Brief Answer:
Yes it is possible that your son has sickle and beta thalassemia trait.

Detailed Answer:
Hi, dear
I have gone through your question. I can understand your concern.
Your son may have sickle trait and beta thalassemia trait.

It is inherited disorder.
It is double hetrozygote state. It means he has one defective gene for sickle cell disease and one for Thalassemia. He is carrier of both the disease.

There can be mild growth retardation, pallor, splenomegaly, vaso occlusive crisis, leg ulcer. His symptoms are mixture of both. But not severe as seen in full blown disease.

In full blown disease of thalassemia patient required repeated blood transfusion. In sickle cell anemia high risk of sickle cell crisis with bone pain, respiratory problem, vaso occlusive crisis, leg ulcer and many other symptoms and he requires oxygenation.

Don't worry much about that. your son is only carrier and he don't have full blown disease. So he can live normal life. But go for HB chromatography once to get exact status.

Hope I have answered your question. If you have any doubts then feel free to ask me. 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. Vinay Bhardwaj
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Answered by
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Dr. Hardik Sanghvi

Hematologist

Practicing since :2008

Answered : 7039 Questions

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Whom to consult when diagnosed with sickle cell anemia and thalassaemia traits?

Brief Answer: You should go for Hb chromatography. Detailed Answer: Hi, dear I have gone through your question. I can understand your concern. Your son may have sickle cell trait with beta thalassemia minor. Many people have this type of hemoglobin disorder and they spend their lives normally without any major problem. But you should confirm your diagnosis. Your son should go through Hb chromatography test. It will give clear idea regarding above situation. Nothing to worry about that. Just go through test and send me reports. If you have already gone through this test and send me his report so that I can help you further. If your son doesn't have any symptoms right now then no treatment is required. But hematologist consultation is required for counselling and future plan. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using health care magic. Wish you a very good health.