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Doctor insights on: Reticulocyte Count In Sickle Cell Crisis

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Does high reticulocyte count mean sickle cell crisis?

Not necessarily....: Patients with sickle cell disease have elevated reticulocyte counts at baseline, as their red cells have significantly reduced half lives relative to normal rbcs. More rapid red cell synthesis, reflected by the high retic count, is needed to maintain steady state, albeit lower than normal. Are you having other symptoms suggesting vaso occlusive crisis? If so, you should seek medical attention.

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Dr. Tipu Sultan
64 Doctors shared insights

Reticulocyte Count (Definition)

"young" red blood cells. They have just emerged from the bm into the circulation. They tend to be larger and slightly purple on the smear. A special stain can be done to make them stand out and the lab can count them. This is usually a sign of a robust production of rbcs and therefore good news. Especially if the patient is recovering from blood loss or ...Read more


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What is the best treatment for sickle cell crisis?

What is the best treatment for sickle cell crisis?

Complex: Oxygen and fluids are traditionally given, and pain meds for symptom control. Infection, infarction, and other stresses may trigger a crisis. Hydroxyurea is used on a on-going basis during and between crises/.

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Which treatment works the best and fastest for a sickle cell crisis?

Which treatment works the best and fastest for a sickle cell crisis?

Supportive care: It depends--sickle cell crisis can manifest as pain crisis, acute chest syndrome, stroke, priapism etc. But basically supportive care like- vigorous hydration, pain medication, adequate oxygenation, are needed. Exchange transfusion vs simple transfusion often times also has to be done depending on the level of hb.

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I recently was admitted for a sickle cell crisis and the pain in my shoulder has gotten worst. I have avn in that shoulder what are my options?

I recently was admitted for a sickle cell crisis and the pain in my shoulder has gotten worst. I have avn in that shoulder what are my options?

Ortho eval: Sickle crisis can certainly impact on pain levels. As the initial answer said you need an orthopedic evaluation. I am in the atlanta area, send me a private message and I will share some possible doctors for you to see.

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How can I have a sickle cell crisis without having the anemia?

How can I have a sickle cell crisis without having the anemia?

I don't think you can: Sickle cell crisis only happens if you have a diagnosis of sickle cell anemia. The degree of anemia sometimes is not that severe-however you will have anemia if you have sickle cell disease - not just a trait. If you only have a sickle cell trait -you will not have a sickle cell crisis.

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Could sickle cell crisis cause lost of oxgen to brain?

Could sickle cell crisis cause lost of oxgen to brain?

Yes: Patients with sickle cell disease are at an increased risk of developing strokes which could affect oxygen delivery to the brain.

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How can I treat sickle cell crisis?

How can I treat sickle cell crisis?

Aggressively: Treatment is of an urgent nature and requires hospitalization typically. The emphasis is on aggressive IV fluid replacement, pain control, treatment of underlying issues such as infection, bloood transfusion or exchange as determined by your hematologist.

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What do you recommend for sickle cell crisis?

What do you recommend for sickle cell crisis?

Take pain medicine: First take pain medicine that worked well for you before, wam bath, heating pad, or cold pack, and try to relax may help. There is no single remedy that works for everyone or that works all the time. If these measures are not effective, you need to call your doctor.

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Can the enviorment cause a sickle cell crisis?

Yes: Environmental issues can definitely cause a crisis. Cold weather can decrease blood flow causing cells to sickle. Hot weather can cause dehydration, which can lead to a crisis. Certainly environmental issues can lead to respiratory infections, which can lead to a crisis.

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What are the most common symptoms of sickle cell crisis?

What are the most common symptoms of sickle cell crisis?

Sickle cell crisis: Sx skeletal-abdominal-chest pain. This is an emergency. May need oxygen, pain meds, antibiotic (if infection is suspected), IV fluids, blood transfusions.

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What is the definition or description of: sickle cell crisis?

What is the definition or description of: sickle cell crisis?

Usually pain.: There are several kinds of crises - pain or vaso-occlusive crisis (blood flow to an area is "clogged" by sickled cells leading to areas of cell death), splenic sequestration crisis (trapping of large volume of blood in the spleen), and aplastic crisis (life-threatening anemia caused by inability to make enough new red blood cells to keep up with the very short life span of sickled red cells).

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I was wondering how I could have a sickle cell crisis without having the disease?

I was wondering how I could have a sickle cell crisis without having the disease?

Not typically: If you have the sickle cell trait, it is possible to have an anemic crisis in the setting of severe dehydration or stress to the immune system, though this is rare. In most cases, individuals with the sickle cell trait live perfectly healthy lives. Remaining hydrated especially in the setting of physical activity and excessive heat should help to prevent any symptoms.

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Do people with sickle cell crisis have a lot of pain?

Do people with sickle cell crisis have a lot of pain?

PAIN WITH SICKLECELL: Sickle cell disese is a painful conditon and can have hemolytic crises, sequestration and thrombotic crises. The thrombotic crises is the one which causes the pain in any part of the body. They can be extremely painful requiring narcotics and some times have to be admitted to the hospital for IV fluids and pain medications.

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Please help! What is the priority nursing intervention for sickle cell crisis?

Do your homework: This site is not a shortcut for you to have your nursing school or health class assignments answered. If you plan to pursue these interests you need to review the course materials and answer in the phraseology and terms common to those sources. Otherwise the instructors will know you did not, and will treat your answers accordingly.

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Is sickle cell crisis more severe in sickle cell thalassemia or sickle cell alone?

Most less severe: Most are less severe in sickle cell thalassemia, but depends. HbS/B (0)thal: similar to HbSS in severity maybe slightly less severe. HbS/B (+)thal: has 60% HbSS and 30% HbA, thus less severe than HbSS (sickle cell alone). HbS/A-thal: less severe than HbSS due to decreased HbSS amount.

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I have had sickle cell crisis frequently for the last 2 years, is there any tips on how I can manage the anaemia better. Thanks?

Hematologist: You need to be on folic acid. I would consider Hydroxyurea to try and reduce crisis episodes. However, you need to see a hematologist who takes care of a lot of sickle cell patients. Hope this helps.

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What is a sickle cell crisis and how does it relate to anemia?

What is a sickle cell crisis and how does it relate to anemia?

See below: The hallmark of sickle cell disease is the sickle cell crisis (also sometimes known as a vaso-occlusive crisis), which is an episode of pain. It is the most common reason for hospitalization in sickle cell disease. Ssd is a type of anemia.

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Could oxygen therapy be usedto reduce a sickle cell crisis?

Could oxygen therapy be usedto reduce a sickle cell crisis?

No; treats it.: Sickle cell crises are often precipitated in low oxygen tension situations. Oxygen therapy can help avaid a crisis and/or help treat an evolving one and decrease rbc sickling.

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Can I die from sickle cell crisis if I ignore it?

Yes: There are different types of crisis in sickle cell. Untreated aplastic crises can cause death to to severe anemia. Untreated acute chest syndrome can cause death due to respiratory failure. Untreated splenic sequestration can cause death due to severe anemia. I would recommend not ignoring any crisis id sickle cell.

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Dr. Mohammed Parvez
43 Doctors shared insights

Sickle Cell Crisis (Definition)

A painful episode that occurs in people who have sickle cell anemia. It happens when sickle-shaped red blood cells block blood vessels. Blood and oxygen cannot get to ...Read more


Dr. James Ball
355 Doctors shared insights

Sickle Cell Disease (Definition)

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