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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Use Of Blood Transfusion And Wepox Injections?

hi my father aged 63 was on ATT medication and we didnt know till then that he had hiv suddenly he had a fall in hemoglobin its 5 .5 right now and his cd4 count is 26 he has started taking his hiv medications since last week tuberculosis was almost cured when this problem occured tomorrow he will be admitted to the hospital becaiuse today is a holiday. he has diabetes since last 8-10 yrs under control. last 5 days he has been on blood transfusion and has been given wepox injections ..please advise what problem he has ?
Mon, 23 Feb 2015
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Geriatrics Specialist 's  Response
Hi,
Thanks for asking.
Based on your query, my opinion is as follows.
1. As his hemoglobin is low, he will need blood transfusion.
2. similarly Wepox injections are erythropoietin injections. It stimulates the bone marrow to produce more RBC and hence improved hemoglobins.
3. Secondary to HIV, there is reduced immunity and this is possibly causing difficulty in treatment of tuberculosis. The CD4 count is low, indicating poor immunity.
4. He will need good nutritional diet to improve immunity. At present, his major problem would be anemia, which will require blood transfusion and Wepox injections.
Hope it helps.
Any further queries, happy to help again.
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What Is The Use Of Blood Transfusion And Wepox Injections?

Hi, Thanks for asking. Based on your query, my opinion is as follows. 1. As his hemoglobin is low, he will need blood transfusion. 2. similarly Wepox injections are erythropoietin injections. It stimulates the bone marrow to produce more RBC and hence improved hemoglobins. 3. Secondary to HIV, there is reduced immunity and this is possibly causing difficulty in treatment of tuberculosis. The CD4 count is low, indicating poor immunity. 4. He will need good nutritional diet to improve immunity. At present, his major problem would be anemia, which will require blood transfusion and Wepox injections. Hope it helps. Any further queries, happy to help again.