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Dr. Andrew Rynne

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How can we increase the blood iron level of an old man ?

my grandfather has got a severe iron diffetincy anaemia (Hb:4 gm)with kidney imperment. He has been recieving iron tablet but without any progress konw he is on iron dextran for 6 days.the Hb will be checked after 3 days. I would like to know if there is no progrees what shall we do. THank you my grandfather, 87 years old, diabetic and has hypertension too. he has renal imperment(urea 193mg/dl and creatinine 3.5 mg/dl).moreover, he is suffering from severe iron diffeciency anemia (Hb 4.5 gm). the US showed small kidneys and that there is fat infltration in the liver without lesion . He had recieved iron tablet without any improvement then now he is taking iron dextran for 6 days. the Hb will be checked after 3 days. I would like to know if the Hb level still low what shall we do next Thank you for your time Yours sincerely Tagrid Salih
Sat, 21 Jan 2012
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Urologist 's  Response
hi your grandfather is a case of renal failure probably chronic ( usg shows b/l small kidneys with high urea creat ) injection erythropoitin will help consult a nephrologist
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Dermatologist Dr. Gaurav Patel's  Response
hi tagrid
4 HB is very low,he need blood transfusion.
it is the only way to increase HB level high in short time which is very needed in ur grandpa case.
better to consult with doctor and take advise of hematologist.
i say again 4 HB is critical.
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