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Doctor insights on: How Low Can Hemoglobin Go Before You Need A Transfusion

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How low can hemoglobin go before you need a transfusion?

How low can hemoglobin go before you need a transfusion?

It depends...: What's the cause? How quickly has the hemoglobin dropped/is there any ongoing bleeding? Is there evidence of inadequate tissue perfusion? What other acute & chronic medical problems does the patient have? In critically ill patients who aren't bleeding, a hemoglobin as low as 7 g/dl is generally well tolerated. Decision to transfuse should be based on desired physiologic effect, not on a number. ...Read more

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Dr. Adam Smith
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Dr. Juan Merayo-Rodriguez
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Transfusions (Definition)

Sometimes babies are given whole blood to supply what they are lacking, and sometimes only components of blood, such as platelets or ...Read more


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Do i need to go get a transfusion if my hemoglobin and hematocrit are low?

Do i need to go get a transfusion if my hemoglobin and hematocrit are low?

Not neccessarily: Blood transfusion is given if the anemia is symptomatic or very low due to active bleeding asymptomatic anemias can be treated with IV iron or iron by mouth. ...Read more

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Dr. Adam Smith
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Hemoglobin 13.7 low iron .Need to be concern? What's problem. Not bleeding. Anemic before w/ transfusons.Transfusions again. Iron level from the labs MCV or mvc. My hematologist was concerned. Ideas?

Hemoglobin 13.7 low iron .Need to be concern? What's problem. Not bleeding.  Anemic before w/ transfusons.Transfusions again. Iron level from the labs MCV or mvc. My hematologist was concerned. Ideas?

Iron deficiency....: It sounds like you have iron-deficiency anemia. With a hemoglobin of 13.7, it is relatively mild at this time but still needs to be diagnosed. Have you had a colonoscopy? Microscopic blood loss from the GI tract can present like this. Colon polyps or even colon cancer can result in iron deficiency anemia. These conditions are very treatable, even curable, if caught early so see a GI doctor asap! ...Read more

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I am on Actermra for Scleritis and have 10 for my hemoglobin level, is that too low to do next infusion and when too low and need transfusion?

I am on Actermra for Scleritis and have 10 for my hemoglobin level, is that too low to do next infusion and when too low and need transfusion?

Hemoglobin level: Most centers will not transfuse a stable non bleeding patient with a hemoglobin over 7. Speak with your doctor if you are having symptoms due to anemia. I know Acterma can cause decreased platelets and WBC but I did not know it caused anemia too. Speak with your doctor. ...Read more

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Dr. Adam Smith
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How low must hemoglobin be to get transfusion?

Low: Due to the potential side-effects and risks of transfusion and the chronic blood shortage the us has, most would agree that transfusion should occur only if the hemoglobin is less than 8gm/dl (normal 12-16) or at any level if the patient is symptomatic or if there is significant active bleeding. ...Read more

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How can you treat persistent low hemoglobin counts following chemotherapy, other than blood transfusion?

How can you treat persistent low hemoglobin counts following chemotherapy, other than blood transfusion?

Not many: Your heme-onc dr is an expert in this, and should have discussed (or tried) a gmcsf injection to stimulate your body's red blood cell production. But, many cancer pts do not respond to it--either due to the nature of the cancer or the treatment or both. If not amenable to induction of production, then will need transfusion every so many weeks. I see many pts who do this, and once used to it are ok. ...Read more

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Im a 22 year old female and i already had a blood transfusion because of my very low hemoglobin... What should I do to keep my hemoglobin level up?

Im a 22 year old female and i already had a blood transfusion because of my very low hemoglobin... What should I do to keep my hemoglobin level up?

More info needed: You must have a talk with your physician to find out why you have low hemoglobin---excess menstrual bleeding? Blood in bowel movements? Nosebleeds? Well-rounded diet? Medications? Good luck. ...Read more

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My dad has jaundice and low hemoglobin (was a 4). Got a transfusion saturday which brought the levels u?

My dad has jaundice and low hemoglobin (was a 4). Got a transfusion saturday which brought the levels u?

What's the question?: I'm sorry dad is sick. He may have a hemolytic anemia that is causing his jaundice, or he may have liver disease and bleeding due to this or some other cause. I hope that a treatable cause is found, and if there are other questions that you have, please write us. ...Read more

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Very low hemoglobin after transfusion for postpartum hemorrhage?

What is the question: Hello fbruno6. If you are still bleeding, your hemoglobin may remain low. Continued transfusions, if needed, will bring up the hemoglobin. You may also have underlying iron deficiency and that also needs to be treated. I am not sure of what your question is, but hope that the above information is helpful to you. ...Read more

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At what hemoglobin level will I need a transfusion?

At what hemoglobin level will I need a transfusion?

No definite level: This is a complex question. We would need to know what is the patient's problem . If there is no immediate surgical issue, then transfusions are given if there are symptoms like chest pain. If there is blood loss during surgery, then indications are different. At our hospital, the medical staff has said there should be no transfusions unless the hemoglobin less than 8 gm/dl. ...Read more

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Dr. Adam Smith
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