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
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?
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
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