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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Cough, Allergic, Lung Fluid, Short Of Breath, Low Hemoglobin. Taking Cap. What Could Be Reason?

i m diagnoised with various diseases over the last 4 months. it started with cough, then allergic, then lung fluid, next short of breath, and low hemoglobin (9.4), prescribed me with cough syrup , next anti histamine drugs, seretide acchuhaler, and haem up for the low hemoglobin. i ve have been taking all these medicines over the past 4 months. the problems are all there, on and off, the level of hemoglobin at times go to 13 a few days after the med back to around 9. what s you advice me? i ve a 4th haem up syrup with me. does it harm me taking 4 bottles over a period of 4 months? H from Ethiopia
Mon, 11 Mar 2013
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General & Family Physician,  's  Response
Hi and thanks for the query,
This condition requires a more careful evaluation. Low hemoglobin , cough and pleural effusion demand first a chest X ray, a complete blood count and markers of inflammation. A chronic cough from a milieu as such deserves screening for active pulmonary tuberculosis. It shall be rare for a simple allergic condition to cause low hemoglobin levels. These conditions might however be associated. Another diagnostic possibility is pulmonary Aspergillosis. Screening for common viral infections like HIV could be worth doing.
I suggest you take an appointment with a pulmonologist for a more proper and comprehensive care.
Thanks and best regards,
Luchuo, MD.
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Cough, Allergic, Lung Fluid, Short Of Breath, Low Hemoglobin. Taking Cap. What Could Be Reason?

Hi and thanks for the query, This condition requires a more careful evaluation. Low hemoglobin , cough and pleural effusion demand first a chest X ray, a complete blood count and markers of inflammation. A chronic cough from a milieu as such deserves screening for active pulmonary tuberculosis. It shall be rare for a simple allergic condition to cause low hemoglobin levels. These conditions might however be associated. Another diagnostic possibility is pulmonary Aspergillosis. Screening for common viral infections like HIV could be worth doing. I suggest you take an appointment with a pulmonologist for a more proper and comprehensive care. Thanks and best regards, Luchuo, MD.