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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Low Haemoglobin After Arnold-Chiari Malformation Neurosurgery?

My daughter recently had an Arnold-Chiari Malformation neurosurgery. The tonsils were 5ml into the spinal canal. She is having a difficult recovery and progressing, but slowly. She now has developed and in the hospital for throwing up and low hemoglobin. What causes the hemoglobin to become low; is it diet related? I know she lost about 14 lbs over last few weeks and is very tiny weighing in at 95 lbs. Any ideas of what questions we should ask or talk about. We are very concerned. She did not have much blood loss during surgery.
Thu, 6 Feb 2020
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Cardiologist 's  Response
Hello,

The anemia could be related to low intake (malnutrition) or bleeding (vaginal or gastro-intestinal). For this reason, I would recommend performing a stool analysis for blood and an abdominal ultrasound. It is also necessary checking iron plasma levels, coupled with folic acid and vitamin B12 plasma levels. You should discuss with her doctor on the above tests.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ilir Sharka, Cardiologist
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What Causes Low Haemoglobin After Arnold-Chiari Malformation Neurosurgery?

Hello, The anemia could be related to low intake (malnutrition) or bleeding (vaginal or gastro-intestinal). For this reason, I would recommend performing a stool analysis for blood and an abdominal ultrasound. It is also necessary checking iron plasma levels, coupled with folic acid and vitamin B12 plasma levels. You should discuss with her doctor on the above tests. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist