Doctor insights on:
Do I Use Ice On An Injury Or Sprain In A Sickle Cell Patient
This is a genetic disorder in which hemoglobin is abnormally made., more common in people of african descent. This abnormality causes red blood cells to become stiff and fall apart. This can cause very specific symptoms: pain, pneumonias, strokes, spleen problems, and many other problems. Some have mild disease, some ...Read more
How can a patient as well as their family and friends be helped with coping with sickle cell anemia?
Start with the doc: Good question! if you are fortunate to have a comprehensive sickle cell program or organization, in your area, a phone call or visit to an event can help establish a connection. Some programs have dedicated social workers who work with family and friends to help with psychological and social aspects of the disease. If "coping" means specific problems, start with the hematologist and his staff. ...Read moreSee 1 more doctor answer
Sickle cell, wt gain: This is a tough question. With increase of metabolic rate due to the body trying to replace RBC's that's life span is 20 days instead of 120 days, increase of calories is important. Hydration is very important to avoid crisis episodes. New therapy with Hydroxyurea is showing promise in the area of weight gain. A diet high in Omega N3 fatty acid is important as is avoiding excess iron. ...Read more
HU in sickle cell: Certain patients with sickle cell can be helped by Hydroxyurea (hu). Initially, Hydroxyurea was thought to increase fetal hemoglobin levels (not carrying the sickle cell mutation), but more recently, hu has been shown to decrease high white blood cell counts which can lead to vaso-occlusive crises. Talk with your hematologist to see if hu is right for you. ...Read moreSee 1 more doctor answer
The bad cells: In simplest terms, the sickle ("bad") cells need to be removed because they get "trapped" in the liver where they are disposed of. These cells don't live as long as normal red blood cells, so the liver is working over time. ...Read more
I'm a sickle cell patient and over the past few years I've lost a considerable amount of weight. How can i get it back or gain some at least?
Is it your diet?: Do you take pain medications that may cause nausea or constipation leading to decreased appetite and/or decreased food intake? How about hydroxyurea (which you almost certainly should be on) ? That can sometimes cause nausea. Accutane is also known to cause weight loss. Ask your doctor help dive into medication-related causes of decreased appetite, if you think that is a possibility. ...Read more
No: For that purpose only without anything else the answer would be no. ...Read more
Not clear: It's not clear why your vitamin B12 has been falling. This is not a typical finding in sickle cell disease. Do you follow a vegetarian diet? Are you regularly taking antacids like omeprazole? These are possible causes, and so are some bowel disorders. Do get this evaluated, especially if your B12 is so low as to require supplements. ...Read moreSee 1 more doctor answer
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