HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What Is The Reason For Low Hemoglobin After Surgery?

hemogloblin, my sister just had her second knee surgery after 14 years her hemoglibin went down below 7 she has received 6 blood transfussion and she is still in the hospital she has a blood clot in the lungs and they started her on cumudin and heprin why is this happening and where is the blood going for it to go so low, her stool has been tested therefore no internal bleeding there was a scan of the knee done therefore it is not in the knee where is it gong and why does it drop so drastically
Wed, 26 Nov 2014
Report Abuse
General & Family Physician,  's  Response
Hi,
Thanks for asking.
Based on your query, my opinion is as follows.
1. Hemoglobin after 6 transfusion, if it is still reducing could be due to possible hemolysis - maybe extravascular or intravascular.
2. Urine examination, if it shows, blood, possibly intravascular.
3. Getting a correct cross matching of blood sample is necessary. Evaluation of antibodies in patient and antigen in donors RBC is needed. Possible antigen antibody reaction, leading to hemolysis.
4. Other cause, which requires evaluation is a possibility of septicaemia with disseminated intravascular coagulation. D-dimer test is necessary. More clinical details and reports necessary for further opinion.
Hope it helps.
Any further queries, happy to help again.
I find this answer helpful
Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Recent questions on Orthopedic surgery


Loading Online Doctors....
What Is The Reason For Low Hemoglobin After Surgery?

Hi, Thanks for asking. Based on your query, my opinion is as follows. 1. Hemoglobin after 6 transfusion, if it is still reducing could be due to possible hemolysis - maybe extravascular or intravascular. 2. Urine examination, if it shows, blood, possibly intravascular. 3. Getting a correct cross matching of blood sample is necessary. Evaluation of antibodies in patient and antigen in donors RBC is needed. Possible antigen antibody reaction, leading to hemolysis. 4. Other cause, which requires evaluation is a possibility of septicaemia with disseminated intravascular coagulation. D-dimer test is necessary. More clinical details and reports necessary for further opinion. Hope it helps. Any further queries, happy to help again.