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Dr. Andrew Rynne
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Dr. Andrew Rynne

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How To Reduce Body Pain During Pregnancy And Diet To Regain The Blood Count?

Hello Doctor, My name is Ehsan and writing to you from Afghanistan.My wife is Pregnant of 18+Weeks after 9 years because of 4 abortions (every abortion was between 10 - 15 weeks of pregnancy) during this period as she was PCOS, Every thing was Ok till last week as she complained of her Right Overy and my sespation was of her Kidney as she was complaining after going to toilet for pee and after taking her to Dr, and done Urine and Blood tests he said that she had urine infection and she is very low in blood, prescribed antibiotics pain killer and some multi Vitamin Surf, she is on dose of Meteformen and Polic Acid from last 10 months as prescribed by Dr at Pakistan. My Question is related her pain in all body specially legs, arms and head and really don t know what is causing it CBC count? or something else, Please if you can prescribe any malti vitamins and plus what she should eat daily to gain back the blood and we should have healthy baby. Regards,Ehsan
Sat, 15 Mar 2014
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OBGYN 's  Response
The body aches and feeling of restlessness is due to metformin. Consult your doctor as this drug can be stopped now as she has conceive d already, so purpose of prescription is solved now. Take the antibiotic and other medicine given to her for urine infection and she will be fine soon. Don't be anxious everything will be fine.
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OBGYN Dr. Nilaj Kumar Bagde's  Response
Hello Ehsan and welcome.

I am extremely touched to see your concern for your wife. She is indeed lucky.
About her low blood counts. Your query does not mention about her hemoglobin and hemogram. If you have not done it please get it done.
If the problem is low hemoglobin ( anemia ), first the type of anemia must be determined. The commonest cause is iron deficiency anemia accompanied by vitamin deficiency. The peripheral smear test will help in this.
Other causes of anemia like sickle cell disease or thalassaemia will be ruled out by a Hb Electrophoresis test.

If the cause is iron deficiency she will need ferrous sulphate tablets. Common brands in India are dexorange, fersolate CM and many more. They must provide her with 100 mg elemental iron per day. She needs them for 3 months. Along with this tablets of Bcomplex vitamins are very helpful as usually diet has defect in both. Injections of iron and vitamins help to fill up the iron needs of the body quickly and are found to be extremely effective. A dose of antiworm like albendazole is given as worms in intestine commonly cause iron deficiency. So discuss all these with your doctor and begin treatment.
A diet rich in green vegetables, salads, carrots, tomatoes, and fruits like apple, water melon, oranges, papaya or any seasonal fruit daily is advisable. A serving of meat is also advised to help provide protein for building up the hemoglobin.
The aches and pains will go away as her condition improves and also her urine infection goes away.

If however the cause is sickle cell or thalassaemia the treatment will be different and you must consult a physician to discuss that.

I must also advise about the repeated abortion at 10-15 weeks. One of the cause for these is a weak cervix. A stitch may be applied on the cervix to prevent such abortion and is called os tightening. Discuss this with your gynecologist as soon as possible and if needed get it done.
I hope this helped.
Thanks for using HCM.
Have a good day.
Dr Nilajkumar Bagde     
Consultant Obstetrics and Gynecology
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How To Reduce Body Pain During Pregnancy And Diet To Regain The Blood Count?

The body aches and feeling of restlessness is due to metformin. Consult your doctor as this drug can be stopped now as she has conceive d already, so purpose of prescription is solved now. Take the antibiotic and other medicine given to her for urine infection and she will be fine soon. Don t be anxious everything will be fine.