Doctor insights on:
Is Thalassemia Major A Problem In Pregnancy
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
Depends on which : Factor. There are about a dozen clotting factors and any of those could be deficient. Some are serious others not so much. It is not feasible to provide specific suggestion from the information provided. ...Read more
Is a woman with sc blood genotype a sickle cell carrier or patient. And what is the health implication of this especially during pregnancy?
Hgb SC: Is a sickle cell syndrome but the genetics are different. A woman with HGB sc will pass either a HGB s gene, or a HGB c gene to her child. It is important to know what kind of HGB the father has-he should have a hemoglobin electrophoresis to find out how the child might be affected. Pregnancy complications are rare, but the baby can have a low weight, and rarely there are complications for the mom. ...Read moreSee 1 more doctor answer
Major Factor: Low birth weight has multiple causes. Utero placental insufficiency being the ultimate culprit. In truth there are many major factors that cause low birth weight. In our present day, in our community i must say that the major factor responsible for lbw is cigarette smoking. ...Read more
Is there a medical condition that only allows a female to be pregnant with a child of one particular sex?
Rare: In theory, if a woman carries an sex chromosome disorder called "X linked recessive", she can give birth to normal females or females who carry the abnormal X, but cause significant defects or be lethal (abort) a male conceptus that did not have a normal X to cancel it's effect. ...Read moreSee 2 more doctor answers
Is a result of 100% antibodies in a seminal fluid test for infertility a permanent problem or is the only way for pregnancy ivf? Thanks
Maybe IVF: It depends on what testing you are referring to, as there are several ways to perform this test. In some cases, it may refer to 100% being free, which would be normal. 100% affected on the other hand would not be good. It is not absolute that one could not conceive with iui, but with high antibodies, there is a decreased chance outside of ivf. ...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
There is blood block in brain, what treatment s d best? Is it a very serious problem or a small problem which can be solved?
Worrisome: Blocks are strokes - is this the cause of your weakness?You may recover and never have another, but this could also be a warning of another stroke and that could cause loss of function that might not recover. Control your high BP and you may be started on aspirin. At the time of a stroke, you may start on blood thinners and tpa (alteplase). Post stroke rehab activities are valuable but may take effort. ...Read more
"Depends": Heart blocks are very variable from fairly benign (first degree) to pretty serious (complete heart block). They can be transient and benign like mobitz type 1 or they can be permanent. Some heart blocks may be more serious but can be reversed if their is an underlying problem such as lyme disease or medication reaction. Often times however a pacemaker may need to be implanted. ...Read more
My child is suffering from thalassemia major & advised for a spleen removal operation after few weeks, is this normal?
Thalassemia Major: Treatment for thalassemia major often involves regular blood transfusions and folate (folic acid) supplements. If you receive blood transfusions, you should not take iron supplements. Doing so can cause a high amount of iron to build up in the body, which can be harmful. Persons who receive significant numbers of blood transfusions need a treatment called chelation therapy to remove excess iron from the body. ...Read moreSee 1 more doctor answer
See below: The most severe form of Alpha thalassemia major causes stillbirth (death of the unborn baby during birth or the late stages of pregnancy). Children born with thalessemia major (cooley's anemia) are normal at birth, but develop severe anemia during the first year of life. Other symptoms can include: •bone deformities in the face •fatigue •growth failure •shortness of breath •yellow skin. ...Read more
If a person had thalassemia major by the time they were 50 would they have such major symptoms a dr would suspect the person had it?
Yes: You wouldn't make it out of childhood without symptoms that would lead to severe symptoms. There are other forms of thallasemia that can remain relatively symptom free, but not thal major. ...Read more
Not the same.: Hemoglobin e is found in the asian population frequently and may be seen with thal trait. Thal major is a serious problem requiring much intervention, including transfusions and frequently splenectomy. Your doctor should be your guiding you. Pregnancy needs to be discussed with your doctor. ...Read moreSee 1 more doctor answer
Electrophoresis: Usually, the type of thalassemia can be determined by a blood smear accompanied by hemoglobin electrophoresis. A laboratory physician can interpret the results and determine what hemoglobin abnormality is present. For certain types of disease, a genetic test may be necessary. ...Read more
Several reasons: Many patients with thalassemia will have elevated bilirubin from the start. This can be made worse here and there from certain experiences which cause the body to breakdown blood cells more rapidly (infection, new medications). Also, if the bilirubin has been climbing, i would check the health of the liver. This can be done with blood tests, mris and possibly biopsies. ...Read moreSee 1 more doctor answer
Hgb A2 and Hgb F: Thalassemia is a genetic disease and depending of the genetic type it will be major or minor. Anemia is severe plus others serious symptoms, splenomegaly, growth retardation, abnormal bone marrow.The level of serum bilirubin, iron and ferritin are elevated. Bone marrow study reveals market erythroid hyperplasia. The minor type has a benign course. Complete blood count is an important test also. ...Read more
Anemia symptoms: The symptoms of beta thalassemia major are those of severe anemia, which include weakness, pallor (pale appearance), decreased growth/development, rapid heart rate, exercise intolerance, thickened bones as the marrow enlarges to try to make more blood cells, enlarged spleen, etc... ...Read moreSee 1 more doctor answer
6-8 months for beta: Alpha thalassemia major is generally fatal before birth, with just rare cases born alive. Beta thalassemia major babies look normal at birth because fetal hemoglobin doesn't need beta globulin. As fetal hemoglobin goes away and adult hemoglobin starts being made, the baby will feel the effects of his lack of beta globulin. Symptoms start after the first 6-8 months of life. ...Read moreSee 1 more doctor answer
Yes: It's a horrible disease but the newer remedies are helping these folks live longer and better. ...Read more
After how much time does the child suffering from thalassemia major show symptoms of disease after birth?
6-8 months for beta: Alpha thalassemia major is generally fatal before birth, with just rare cases born alive. Beta thalassemia major babies look normal at birth because fetal hemoglobin doesn't need beta globulin. As fetal hemoglobin goes away and adult hemoglobin starts being made, the baby will feel the effects of his lack of beta globulin. Symptoms start after the first 6-8 months of life. ...Read more
Following how much time does the child suffering from thalassemia major show symptoms of disease after birth?
my brother is having thalassemia major from 20 yrs, can we give him niacin b3 will it help for him, and the iron level is also high in his body.?
Thalassemia major: He will need to be on iron chelator- that is for sure- to help reduce the iron overload that he has. Discuss this with his doctor- if he is not taking iron chelator agent yet. As far as Niacin b3, - he can actually take vitamin b-complex- once a day . Inside vit b complex- there are vit b12, b6, as well as b2, b3, etc. ...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 moreSee 1 more doctor answer
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