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Doctor insights on: I Have Sickle Cell Anemia Are There Any Precautions I Should Take Before Dental Work

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I have sickle cell anemia. Are there any precautions I should take before dental work?

I have sickle cell anemia. Are there any precautions I should take before dental work?

Not usually: It is important to let your dentist know, but most procedures don't have a major impact for sickle cell. Procedures that involve more bleeding would be of greater concern, things like extractions, dental implants, etc. ...Read more

Dr. James Ball
356 Doctors shared insights

Sickle Cell Disease (Definition)

A group of disorders that cause red blood cells to become ...Read more


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What are the precautions for dental cleanings-prophylaxis without deep subgingival scaling of children with sickle cell anemia?  

What are the precautions for dental cleanings-prophylaxis without deep subgingival scaling of children with sickle cell anemia?  

No extra precautions: Routine dental cleanings (prophylaxis) for children with sickle cell anemia are not different than dental prophylaxis for normal children. Because children are not sedated, the risk of decreased oxygenation is not there. For "operative" dental procedures such as tooth extractions and root canals, prophylactic antibiotics can be considered. ...Read more

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Is premedication needed for dental cleanings if you have sickle cell anemia?

Is premedication needed for dental cleanings if you have sickle cell anemia?

Not usually: If you have sickle cell disease and no other problems, and are getting a routine dental cleaning, you probably don't need anything special. You should check with your hematologist to be certain. ...Read more

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Can I go for dental implants in sickle cell anemia patients?

Can I go for dental implants in sickle cell anemia patients?

Yes: Always tell your dentist all of your medical conditions and medications you are currently taking. There are very few complete contraindications for dental implants if your medical conditions are well controlled. ...Read more

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My brother suffer from sickle cell anemia and he is addicted to pentazocine injection. He takes it 3times every single day. What is the remedy?

My brother suffer from sickle cell anemia and he is addicted to pentazocine injection. He takes it 3times every single day. What is the remedy?

See pain specialist: Sickle cell anemia can be a very painful disease. There are many alternatives to injecting pentazocine. A visit to a pain specialist might be beneficial. ...Read more

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When having sickle cell anemia what medicine can you take for a cold?

When having sickle cell anemia what medicine can you take for a cold?

Check with Heme Dr.: Hematology doctors who takes care of the sickle problems have guidelines on cold medications that are ok to use. Some doctors recommend not using tylenol/motrin/advil to treat fever, because such meds may "mask" a fever that would otherwise send a patient to the doctor to get treatment for an infection. Some recommend avoiding meds that can increase heart rate (such as phenylephrine and sudafed). ...Read more

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Can you explain to me how mutation take place in sickle-cell anemia?

Can you explain to me how mutation take place in sickle-cell anemia?

Important gene...: Sickle cell anemia is caused by a mutation in the gene that tells your body to make hemoglobin. Hemoglobin allows red blood cells to carry oxygen from your lungs to all parts of your body. In sickle cell anemia, the abnormal hemoglobin causes red blood cells to become rigid, sticky and misshapen. These abnormal red blood cells lead to the various symptoms of the disease. ...Read more

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Why is it difficult to take care of gonorrhea while having sickle cell anemia?

It's not but...: Patients with sca suffer damage to the spleen. When the spleen eventually stops working, the patient has impaired resistance to bacterial infections that can get into the blood stream. Gonorrhea is one such infection, so the problem is more severe infections not an inability to give antibiotics and have them work. ...Read more

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Is there a cure for my sickle cell anemia ss? My doc said there is one bone merrow transplnt will it work true or not?

Is there a cure for my sickle cell anemia ss? My doc said there is one bone merrow transplnt will it work true or not?

Donor transplant: Donor bone marrow transplantation from a related donor (usually sibling) or an unrelated donor can be often successfully carried out in healthy patients with sickle cell anemia. A cord blood transplant can be used if regular donors are not available. Useful website is www. Marrow. Org. ...Read more

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What jobs would sickle cell anemia prevent you from being able to work?

Additional info: Sickle cell disease and sometimes trait prevent the patient from being an airline or military pilot.

Otherwise most careers that do not involve high altitude would probably be fine, as the other doctor had written. ...Read more

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If I can not afford the medications prescribed for my sickle cell anemia, are there any programs that can help?

Needymeds. Com: This is a great site for help with medications. It lists the drugs, you click on the one you want and it takes you to a site to print out a form. Your doctor can help. There are qualifications but it is worth a try. Good luck. ...Read more

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Can someons parents have sickle cell anemia and then they don't get the trait nor the anemia?

Another possibility: One sickle cell syndrome is a combination of sickle cell trait and beta thalassemia. The symptoms are most like sickle cell disease. If this person had children, they could pass on the beta thalassemia and not the sickle cell. Otherwise, people sickle cell disease will have children with either trait or disease. ...Read more

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Is it possible for children whose parents have sickle cell anemia to not get it? What are the odds?

Is it possible for children whose parents have sickle cell anemia to not get it? What are the odds?

Depends on situation: If both really have sickle cell anemia, the kids they have together will all have sickle cell. If you mean they both carry a trait, they can have normal, trait or sickle cell kids. ...Read more

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Do one or both parents have to have sickle cell anemia in order for this trait to pass on to their children?

Do one or both parents have to have sickle cell anemia in order for this trait to pass on to their children?

No.: The parents could both be carriers of the sickle cell mutation on one of their two beta globin genes. Their other gene could be normal. This condition is called sickle cell trait. These people are usually asymptomatic with normal red cell indices. The child could have two copies of the mutant beta globin gene, one from each parent. Their is a 25% chance of this. For more details, consult your dr. ...Read more

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Hello, I have sickle cell anemia, my hematologist recomended me to do splenectomy does it help to reduce pain crisis?

Puzzling: Most sickle cell patients have auto splenectomy. If you have scd then that is usual. Seek additional input ...Read more

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I have sickle cell anemia; enlarged liver and a high iron count can I die from this?

I have sickle cell anemia; enlarged liver and a high iron count can I die from this?

Possibly: Iron overload from prior transfusions can lead to liver damage that ultimately could cause death. I recommend asking you physician about iron removal medications. ...Read more

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I have sickle cell anemia. Can I still get a lip piercing?

Yes: Unless someone with sickle cell anemia has had recurrent or serious infections, a lip piercing should be ok. A doctor should be consulted to make certain. ...Read more

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Do both parents have to have the sickle cell trait for the child to have sickle cell anemia?

Do both parents have to have the sickle cell trait for the child to have sickle cell anemia?

No: 2 abnormal (sickle cell) gene have to be inherited to have sickle cell disease. This can happen if both patents have sickle cell trait, one parent has sickle cell disease or both have sickle cell disease. ...Read more

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What is the blood type given to those who have sickle cell anemia?

What is the blood type given to those who have sickle cell anemia?

Same rules...: If a person with sickle cell disease requires a transfusion, the rules governing which blood types are safe are the same as for the general population. ...Read more

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I have sickle cell anemia and I'm getting B12 and magnesium but both are still dropping, why is this?

Unrelated: Folic acid supplement is generally recommended for individuals with sickle cell disease. Need for extra vitamin B12 and magnesium signify the presence of other problem other than sickle cell disease. ...Read more

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What blood type is administered to those that have sickle cell anemia?

What blood type is administered to those that have sickle cell anemia?

Type-specific: Type specific blood is given. In those patients who require blood transfusions very frequently, the providers often will expand the blood typing to include a number of addition blood typing systems. We call this an expanded phenotyping of blood. ...Read more

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I have Sickle Cell Anemia what would you prescribe for pain management?

Depends: There is neuropathic vs. Nociceptive vs. Musculoskeleto pain. Need to know your symptoms, can be any of these with sickle cell ...Read more

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I have sickle cell anemia, and I'm currently in the hospital been here for a week, I'm getting fluids and oxygen but my retic count is going up, ?

I have sickle cell anemia, and I'm currently in the hospital been here for a week, I'm getting fluids and oxygen but my retic count is going up, ?

That's what you want: It is much better that your reticulocyte count is going up than if it was going down. It may indicate that your red blood cells (RBCs) are being hemolyzed/destroyed faster than usual, but this often happens during an illness in patients with sickle cell disease. If your reticulocyte count was going down, that would indicate your body isn't making new RBCs, and that would be bad. Get better soon ...Read more

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My boyfriend & I have sickle cell anemia, our son will also inherit the disease. Should we wait until umbilical cord stops pulsating before clamping?

Doesn't matter: Sickle cell disease will affect his blood cells over time as they sickle with dehydration and illness, or as they live a shorter duration in the body. Generally there aren't any symptoms at birth, and nothing having to do with the cord will make a difference. In actuality, his fetal hemoglobin will be more protective from sickle cell, and treatments now focus on keeping fetal hemoglobin around. ...Read more

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Could both parents have to have the sickle cell trait for the child to have sickle cell anemia?

Yes: Sickle cell anemia requires the gene from both parents to cause ss anemia. If only one parent gave the gene, the kid would be a trait carrier. ...Read more

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I have sickle cell anemia and I also have a foot/ankle ulcer. What can I do to treat it?

See Podiatrist: Or wound care specialist to get it properly evaluated and treated. Keep wound clean and protected. ...Read more

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Do people always die young if they have sickle cell anemia?

Do people always die young if they have sickle cell anemia?

Sickle cell disease: There have only been a couple of studies examining life expectancy in patients with sickle cell disease. One study I know of found a median age at death of 42 for men and 48 for women with sickle cell disease. However, there are many variables impacting prognosis and survival from one patient to the next. ...Read more

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Do those who have sickle cell anemia usually get splenectomies?

Do those who have sickle cell anemia usually get splenectomies?

Possibly: Other indications would include a recent splenic sequestration crisis (occurs in childhood), or in a patient receiving chronic transfusions for complications of sickle cell disease whose transfusion requirement increases due to collection and destruction of blood cells in an abnormally enlarged spleen. The latter is rare in sickle cell disease. ...Read more

Dr. Steven Ginsberg
1,285 Doctors shared insights

Anemia (Definition)

Any condition where there is a decrease in the red blood ...Read more