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A member asked:

how can i treat pernicious anemia?

5 doctor answers9 doctors weighed in
Dr. Benjamin Lessig
Geriatrics 25 years experience
Cobalamin therapy: Try a trial of vitamin B12 (cobalamin) first and have a physician to repeat lab to ensure adequate dose. Also it may need additional therapies for cobalamin deficiency due to underlying diseases involving intestine or pancreas. Please check for Folic Acid deficiency as well and this may be related to nutritional deficiency. If you are a vegetarian, please take vitamin B12 daily.
Dr. Liawaty Ho
Hematology and Oncology 23 years experience
Vit B12: Pernicious anemia is the presence of vitamin B12 deficiency that is caused by lacking of intrinsic factor from the gastric cells. The treatment will be -repalcement of vit b12-that can be given via injection in the muscle, or nasal spray or sublingual- given periodically. Pernicious.
Dr. Jason Black
Internal Medicine 25 years experience
Vitamin B-12: Pernicious anemia is a complicated disease, but the end result is that patients become deficient in vitamin b-12. Therefore, the treatment primarily involves b-12 supplementation.
Dr. Gurmukh Singh
Pathology 49 years experience
B 12 injections: Agree with Dr. B Safest way to treat pernicious anemia is with periodic vitamin B 12 injections and you need to see a doctor for that. Have a healthy diet, exercise, drink plenty of water, have safe sex, if you do, and get HPV vaccine, if you are younger than 45-years. Wish you good health!
Dr. Bennett Machanic
Neurology 52 years experience
B-12 deficiency: Unless there is an intestinal parasite, we usually just do blood studies to confirm and supplement vitamin b-12 using 1000 mcg injected monthly, i.M. Some pts will absorb sufficient amounts by mouth or intranasal routes, but most efficient to inject.

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A 31-year-old member asked:

Are there other tests to determine sickle cell anemia risk if my husband is away serving in the military?

2 doctor answers3 doctors weighed in
Dr. Jeff Livingston
Obstetrics and Gynecology 22 years experience
Yes: The first step is testing you for sickle cell carrier status. If not a carrier then no further testing needs to be done. If you are a carrier then the next step is check the father of the baby. If he is unavailable you could have his parents tested. If neither are a carrier then the father can not be a carrier either. If they are carriers then the fathers chances are 50% he is also.
A 22-year-old member asked:

Can childbirth cause anemia?

2 doctor answers5 doctors weighed in
Dr. Albert Pizzo
Family Medicine 60 years experience
Anemia: Yes. The fetus during pregnancy draws many substances from the mother, one of which is iron. If the mother has a poor intake of iron, then she is prone to iron deficience anemia. Also if the mother has a large amount of blood loss during delivery, this can cause anemia.
A 21-year-old member asked:

What causes anemia in people with diabetes?

2 doctor answers5 doctors weighed in
Dr. Zouhdi Hajjaj
Internal Medicine 23 years experience
Kidney disease: Diabetes, especially if not controlled, will negatively affect kidney function, notably with respect to that organ's vital function in stimulating blood cell production. The kidneys do so by secreting a hormone that leads to red cell production.
Dr. Ritesh Rathore
Hematology and Oncology 30 years experience
additonally inflammatory compnonent of poorly contolled diabetes can reduce new blood cell production and cause anemia of chronic disease.
Feb 8, 2012
A 21-year-old member asked:

What are cyanate and thiocyanate? Can they be used to treat sickle cell anemia?

2 doctor answers4 doctors weighed in
Dr. Pedro Hernandez
Geriatrics 40 years experience
Ask ur Hematologist: Dietary cyanate, from foods containing cyanide derivatives, has been used as a treatment for sickle- cell anemia. In the laboratory, cyanate and thiocyanate irreversibly inhibit sickling of red blood cells drawn from sickle cell anemia patients. However, the cyanate would have to be administered to the patient for a lifetime, as each new red blood cell created must be prevented from sickling.
A 21-year-old member asked:

What are the different types of sickle cell anemia?

2 doctor answers6 doctors weighed in
Dr. Pedro Hernandez
Geriatrics 40 years experience
Types os SIckle Cell: From nih, division of blood diseases and resources: sickle cell disease-ss: 65% of us patients; genotype s/s sickle cell disease-sc: 25% of us patients; genotype s/c sickle cell disease-s beta + thalassemia: 8% of us patients; genotype betas/ beta + thalassemia sickle cell disease-s beta 0 thalassemia: 2% of us patients; genotype betas/ beta 0 thalassemia.

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