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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Low RBC count, hemoglobin, hematocrit. Taking Ferrous Sulfate Tablets. Help

I am now taking Ferrous Sulfate Tablets (325 mg) iron supplements which were prescribed by the VA Clinic. I take three (3) 325 mg tablets per day and my latest CBC stills shows low readings of RBC 3.26; Hemoglobin 8.7; Hematocrit 27.7. My family doctor says that he has had better luck with the Poly Iron 150 mg. My question to you....If I do go ahead and order the Poly Iron 150 mg/tablet....how many tablets should I take?
Sat, 30 Mar 2013
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Internal Medicine Specialist 's  Response
Hello!

You have been started on iron supplements thinking of iron deficiency anaemia.It also needs to be searched for cause of iron deficiency whether nutritional deficiency or secondary to blood loss.

Low hemoglobin could be due to other causes like B12 or folate deficiency.This needs clinical correlation and confirmation by blood tests such as MCV,MCH,MCHC,serum iron,ferritin,transferrin,B12 levels and stool for occult blood.

However you have been started on iron supplements means you must having iron deficiency.
Three tablets of ferrous sulfate 325mg per day are more than enough for hemoglobin of 8.7.
Hemoglobin takes time to increase.It increases by approximately 1gm per week if there is no active loss blood simultaneously.

Hence continue with the same treatment for one month and repeat HB,CBC after one month.

Hope this could help you.
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General & Family Physician Dr. Veera Raghava Rao Buddha.'s  Response
Hi welcome to Health care magic forum.
Thanks for calling H.C.M.
It appears that yours is anaemia secondary to intestinal worms, Hook worms in the intestine are the notorius worms to squeese the blood, and cause anaemia.
It appears that the iron salts are not absorbed from your gut , so i advise you to have injection form of the iron, which will definitely help yp you.
Besides i also advise you to take iron containing foods, like green leafy vegetables, protein foods, and pulses for proteins fruits and juices, and sprouts for vitamins and minerals to help hemopoisys.
Wishing for a quick recovery.
Regards.
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Low RBC count, hemoglobin, hematocrit. Taking Ferrous Sulfate Tablets. Help

Hello! You have been started on iron supplements thinking of iron deficiency anaemia.It also needs to be searched for cause of iron deficiency whether nutritional deficiency or secondary to blood loss. Low hemoglobin could be due to other causes like B12 or folate deficiency.This needs clinical correlation and confirmation by blood tests such as MCV,MCH,MCHC,serum iron,ferritin,transferrin,B12 levels and stool for occult blood. However you have been started on iron supplements means you must having iron deficiency. Three tablets of ferrous sulfate 325mg per day are more than enough for hemoglobin of 8.7. Hemoglobin takes time to increase.It increases by approximately 1gm per week if there is no active loss blood simultaneously. Hence continue with the same treatment for one month and repeat HB,CBC after one month. Hope this could help you.