Doctor insights on:
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
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
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
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
I'm 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?
I had a blood transfusion due to low hemoglobin. My iron level was 6 and is now 9 after two units. I still feel weak and really tired after 3 days?
Of course you do: You are still seriously anemic. Be proactive. Insist on an explanation of how you got this sick and what wil be done to restore you to health. If you have a bleeding stomach ulcer, what will be done? If you have hemolysis, what is the cause? G6PD status? Were you malnourished? You deserve a full explanation. ...Read more
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
Is 9.4 Hemoglobin still low? (2 weeks ago needed 3 emergency blood transfusions due to major blood loss from Gastrointest. Hemorrhage w/melena).
Not really.: 9.4 is low but it's not " Too"' low. More important is whether you are having symptoms of anemia (heart racing, low blood pressure, short of breath, etc). Your blood count should increase unless you are still bleeding internally. Did they find a source?? Follow with your GI Doc. You will need scopes if not already done If the returns go to ER ...Read more
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
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
No.: It seems like your Hb is improving. No transfusion recommended. ...Read more
Sir my child hemoglobin is less than 10, and his age is 20 days so, what you suggest about blood transfusion?
No: This is in the normal range for this age. Questions to ponder are: is the child's skin yellow? Is the child feeding well and otherwise appear healthy? Some will have a minor form of blood group mismatch with their moms blood resulting in decrease of the hemoglobin levels for some weeks after birth. ...Read more
Not necessarily: There is more to needing a blood transfusion than just the HGB level. The cause of low HGB is most mportant as well as the rate of decline. More information would be needed to address your particular problem. ...Read more
No: Why was blood transfusion given? The reason for the initial drop in hemoglobin may still be present. ...Read more
Is Haemoglobin 6.1g?:
If you have chronic kidney disease you usually can tolerate anemia (low hb) better than people with no kidney dz. This is because kidney produces erythropoietin, needed for red cell prodction in bone marrow.
In your case hb of 6.1 is concerning and you need few things, get worked up for anem., consult a nephrologist, probably 1-2 units-packed redcells transfusion, iron + or -, erythropoi. Suppl. +/-. ...Read more
A couple weeks ago my hemoglobin level was a 4.9. Is that really bad? I had to get 4 blood transfusions for it.
Is 8 weeks of iron infusions enough? Ater this time hemoglobin decreased to 7.6. As a result, I had a blood transfusion.
Something's wrong: If iron infusions over eight weeks didn't fix your anemia, it's either not due to iron deficiency or you still have serious blood loss. I also see that somebody is giving you vitamin B12 for whatever reason. Please forgive my frankness. If there is not a misunderstanding, please get with a hematologist. ...Read more
How long could it take for my hemoglobin level to return to its pre-surgical range if I receive a transfusion? If I didn't?
6-12 weeks: There are a number of variables here. First, how low was your hemoglobin when you started? Second, if you received a transfusion, what was your hemoglobin after? It takes about 90 days to cycle through your blood supply, so after 3 months, you should be back to your baseline. ...Read more
I had a blood transfusion in april because I went to the hospital due to a very rapid heart rate. My hemoglobin level was at a 6.5, lately I have been feeling the symptoms all over again. I'm thinking my body is going through that all over again. Any advic
Blood: Did they find out why your hemoglobin is going down so much? Are you losing blood, or do you have some other blood disease? ...Read more
Is blood transfusion really needed right away for a 86 years old patient with creatinine level of 3.6 and hemoglobin of 61?
Blood transfusion?: If the patient is hypotensive and has a rapid heart rate, a blood transfusion is mandatory. A hemoglobin (h) of 6.1 is about 30% that of a normal h of. Unless the patient is in hospice care, the patient, or the patient's family, should be offered the option of a blood transfusion to elevate the h to a level > than 10 gm/dl. ...Read more
My hemoglobin is at 2 and I don't want a blood transfusion so my pcp recommended iron infusion. Will it help?
Blood transfusion: Blood transfusion is recommended for Hemoglobin less than 6g/dl except in exceptional circumstances. In your case Hemoglobin is 2 and this is an indication of blood transfusion. ...Read more
Extremely anemic (transfusion jan 27) hematocrit tested today was at 30%. Hemoglobin test not available. Will I need another transfusion?
Transfusion?: Anemia can be due to blood loss usually via the GI tract, an impaired bone marrow that cannot make red blood cells (rbc) or due to destruction of rbc's in the vessels. What did the doctors tell you your anemia was due to? At a hematocrit of 30%, you will not need a transfusion now. Speak to the doctors who transfused you for more information as they know your case best of all. Good luck. ...Read more
If I will be undergoing myomectomy surgery -fundal fibroids (3), in my 30's, what is normal hb (hemoglobin)? Do I need blood transfusion?
About 12-16 g/dL.: Normal hemoglobin for an adult female is between 12-16 g/dl (7.4-9.9 mmol/l). You might need blood, like 2 units for your surgery to replace any blood lost. If you are anemic, which might be the case in these circumstances, you might need more. At any rate, your doctor, to prepare you for surgery might talk to you about autologous transfusion, or donating blood to yourself. Best of luck. ...Read more
I have a very bald flare of my colitis and have been in the hospital for 4 days. My hemoglobin was 70 and I had a blood transfusion. What should eat?
See below: I would check with your gastroneurologist good luck thank you. ...Read more
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