Doctor insights on:
Can Having Hemolytic Anemia Stop Me From Getting Pregnant
No: The oxygen carrying capacity of your blood, which is what anemia affects, does not affect fertility. However, depending upon how profound your anemia, it may make the pregnancy very difficult and risky. I would definitely correct the anemia before conception and remain in the care of your hematologist to maintain normal hemoglobin levels throughout your pregnancy. ...Read more
When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more
If a girl having autoimmune hemolytic anemia n on steroids n azathioprin what she should do to get pregnant n have healthy baby?
Yes: You have to figure out why you are bleeding into your stomach and if there are any other places where you are bleeding and why and if you are making sufficient replacement blood and if not why not. This can be orchestrated, at least at first by your doc, and if things get really messy by a hematologist. Good luck! ...Read more
Uncommon.: This would be very uncommon. But it can happen. Definitely take the prescribed medicine and follow up with your doctor regularly. ...Read more
Cell membrane damage: Pyruvate a kinase deficiency results in reduced ability of red cells to make ATP -the "energy source" of cells. Atp is also necessary to protect cells from damaging compounds such as free radicals. With decreased energy supply the cell is not able to maintain appropriate concentrations of electrolytes and fluids, becomes distorted or stiff, and then is destroyed in the spleen or liver. ...Read more
? necessary: Is it any of their business? If trying to explain it, suggest it is a breakup of blood cells in the blood stream. ...Read more
Haemoglobin is not found in the urine of a healthy person but is in a person with hemolytic anemia, is this true?
It's not so simple: Everyone has a little bit of blood in the urine. A runner usually has mild hematuria from the mechanics of running with a full bladder. Further, someone who has hemolysis that's not intravascular (i.e., autoimmune hemolysis, spherocytosis) won't spill hemoglobin, and somone with mild ongoing hemolysis (sickle cell) with enough haptoglobin to trap the hemoglobin won't spill it either. ...Read more
People with thalassemia or hemolytic anemia, why they present usually with hemoglobinuria? Inspite they have reduced rbcs!
Hemoglobinuria....: Is simply the presence of hemoglobin in the urine, and can be seen in any condition that results in intravascular hemolysis. It is not a specific finding. Indeed it can be seen in thalassemias, where red cells are more prone to oxidant stress and mechanical disruption. There many intrinsic and extrinsic reasons for hemolysis to occur. Hope this helps. ...Read more
Possibly: Hemolytic anemia may have numerous causes including toxins, infections, genetic diseases, autoimmune diseases, drugs, certain types of food, etc. So theoretically if you know what the cause is then it can be avoided. Therefore an adequate diagnostic workup by your doctor is necessary. ...Read more
No: It can be due to an underlying autoimmune disorder, such as lupus or rheumatoid arthritis. In this case, the underlying autoimmune disorder may be hereditary; but the autoimmune hemolytic anemia is not hereditary. It is simply the manifestation of the underlying disorder. There are also several causes of autoimmune hemolytic anemia that are not inherited. ...Read more
Stopping dapsone: The best way to treat Dapsone related anemia is by discontinuing dapsone. Dapsone causes hemolytic anemia which is dose-dependent and can be stopped only with discontinuing the drug. Usual practice is to use the lowest possible doses of Dapsone and support with vitamin E and folic acid. ...Read more
Find the cause: You have to find the cause of why the red blood cells are being destroyed (hemolysed) then target it; certains cause of hemolysis are medication, heredity, malignancy, infection, enlarged slpeen etc... ...Read more
Multifactoral: Coombs (-) hemolytic anemia means that you have evidence of hemolysis (RBC fragmentation) that is not immune mediated. Potential causes include medications, artificial valves, microangiopathic causes, and disorders involving the RBC membrane, etc. Large granular lymphocytosis may be reactive or represent a leukemia if absolute levels are 2-20, 000 and sustained for >6 mo in your peripheral blood. ...Read more
May be yes:
I strongly believe that acupuncture can influence the course of the disease. The question is rather to be extra care full not to cause bleeding. In general acupuncture is considered ok to do with bleeding disorders or even use of Coumadin (warfarin) (blood thinner).
Still I would be cautious. I would probably suggest first to try therapeutic touch ...Read more
Can you be more....: Specific? I'm not sure which congenital hemolytic anemia you are speaking of. There are many causes of hemolysis from intrinsic red cell abnormalities. They are generally subdivided into hemoglobinopathies, membranopathies and enzymopathies. Their mechanisms of red cell compromise are different, as is treatment. Our hematology grop at primary children's in slc is xlnt and always here to help. ...Read more
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