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MICROCYTIC HYPOCHROMIC ANEMIA. Is IRON SUPPLEMENT needed?

Resolved Question:

Age 27 years, Female. ::::Is it compulsory to go with Iron Supplement Injection to improve Iron level from 40 mg/dl present and
hemoglobin Level 7.5.

Smear Examination::
RBC Morphology : Microcytic- Hypochromic smear seen, Anisocytosis-Poikilocytosis.

Serum Iron Level : 40 mg/dl
TIBC : 275 mg /dl

:::Query:::
1. Is there a possibility to improve these Low levels of Hemoglobin and Iron with Medicines ?

2. Doctor suggested to take Iron Supplement Injection to improve Iron level. Is it compulsory to take Iron Supplement, cannot we control this with medicines at this level.

3. Are there any side effects or precautions to be worried before going for Iron Supplement Injection.


Other Symptoms:
Faint, Dizzy, Weekness, Heavy Bleeding during menstrual period.
 

Category: Internal Medicine Specialist

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Category: HIV- AIDS Specialist
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Hello.
Thank you for your query at DoctorSpring.com.

I understand your concern and will do my best to help you.
You seem to have Iron Deficiency Anemia due to blood loss in menstruation.
Your treatment should include iron supplementation and management of the gynaecological problem of heavy menstrual bleeding.
Hemoglobin of 7.5 gram is quite low and this is causing the weakness, faintness as well as the dizzy feeling. Your Hemoglobin level needs to be raised soon.

Let me answer your questions individually.

1. Is there a possibility to improve these Low levels of Hemoglobin and Iron with Medicines ? 2. Doctor suggested to take Iron Supplement Injection to improve Iron level. Is it compulsory to take Iron Supplement, cannot we control this with medicines at this level.
Iron tablets can be an alternative but correction of anemia with these will take longer. However oral iron tablets are not very well tolerated by many because of their gastric side effects. Also, since you have heavy menstrual bleeding, absorption of oral iron, even in maximal doses, may be unable to keep up with blood loss.
Iron injections is a better option for you.

3. Are there any side effects or precautions to be worried before going for Iron Supplement Injection.
These injections are quite safe and you need not worry excessively.
Standard precautions which are taken with any other injection such as sterile technique are required. If Iron Dextran preparation is being used, a test dose of 25 mg given by slow IV (Intravenous) push over five minutes is required when giving this agent for the first time. This is to test for an allergy.
The required amount of Iron calculated for you can be given in a saline drip slowly for an hour or so.
Side effects are rare, most commonly an allergic reaction. Other side effects include fever, muscle and joint pains which resolve on their own.

The most important step for you is to find the cause of your heavy menstrual bleeding and have it treated. You need to consult a Gynaecologist, if you haven't already.

I hope this was helpful. Feel free to ask queries.

Regards.
PS: I was unable to view your reports as they are in .zip format. Kindly upload them in pdf format. Thank you.


Patient replied :

Thank you very much for such a good explanation on my concern in simple words.
I have attached the PDF format of reports. Please review these once and let me know your inputs or suggestions that relates my queries.
Thanks again..


Hello.
Thank you for your appreciation and for re-uploading those reports.
I have gone through them and apart from tests showing the presence of anemia, nothing else is abnormal.
My advice remains the same. As I have said earlier, please get the cause (Gynaecological problem) treated at the earliest and at the same time, please go ahead with the iron supplementation.
You should improve with the first injection itself and your Hemoglobin level will normalise in a month or two.
You should also make sure that your diet is rich in iron containing foods such as red meat, organ meat like liver, green leafy vegetables, dates, raisins, almonds etc.
Let me know if I can assist you further.
Regards.


Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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